Acute otitis media and mastoiditis - 复旦大学精品 .pptVIP

Acute otitis media and mastoiditis Chunfu Dai M.D Ph.D Otolaryngology Department Fudan Univeristy Definition AOM: is an infectious process of the middle ear cleft and to a variable extent, of the mastoid air cell system. Bacteriology Streptococcus pneumoniae (48%) Haemophilus influenzae (31%) Moraxella catarrhalis (20%) P-hemolytic streptococcus (decreased following widespread immunization program) Pseudomonas aeruginosa (uncommon cause of AOM) 阻断细菌耐药性的“恶性循环” Routine of infection Via eustachian tube upper respiratory infection (acute rhinonitis and nasal pharyngitis) Upper respiratory c