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Bacteriology in Acute Mastoiditis

Bacteriology in Acute Mastoiditis Abstract • During the period from July 1979 to December 1979, the bacteriology of 35 consecutive patients undergoing surgery for acute mastoiditis was studied. The patients' ages ranged from 3 to 13 years. All patients presented with a purulent otorrhea and a postauricular subperiosteal abscess and were subjected to a mastoidectomy within 12 hours of presentation. Specimens were obtained intraoperatively from the mastoid cavity and, using appropriate technology, were cultured for aerobic and anaerobic organisms. Bacteria were isolated from specimens of 32 patients (91.4%); specimens from three patients (8.6%) yielded no growth. Aerobes alone were cultured from four patients (11.4%); six patients' cultures (17.1%) yielded only anaerobes; and 22 patients' cultures (62.8%) had both aerobic and anaerobic organisms. Thus, anaerobes were cultured from a total of 28 patients (80.0%). (Arch Otolaryngol Head Neck Surg 1987;113:514-515) References 1. Finegold S: Anaerobic infections in otolaryngology . Ann Otol Rhinol Laryngol 1981; 90( (suppl 84) ):13-16. 2. Jokipii A, Karma P: Anaerobic bacteria in chronic otitis media . Arch Otolaryngol Head Neck Surg 1977;103:278-280.Crossref 3. Palva T, Halstrom 0: Bacteriology of chronic otitis media . Arch Otolaryngol Head Neck Surg 1965;82:359-364.Crossref 4. Brook I, Finegold SM: Bacteriology of chronic otitis media . JAMA 1979;241:487-488.Crossref 5. Brook I: Clindamycin in treatment of chronic recurrent suppurative otitis media in children . J Laryngol Otol 1980;94:607-615.Crossref 6. Brook I: Aerobic and anaerobic bacteriology of cholesteatoma . Laryngoscope 1981;91:250-253. 7. Beeden AG, Willis AT: A case of anaerobic middle ear infection with complications . J Laryngol Otol 1980;94:659-662.Crossref 8. Moloy PJ: Anaerobic mastoiditis: A report of two cases with complications . Laryngoscope 1982;92:1311-1315.Crossref 9. Brook I, Anthony B, Finegold S: Aerobic and anaerobic bacteriology of acute otitis media in children . J Pediatrics 1978;92:13-15.Crossref 10. Eykyn S, Phillips I: Anaerobic infections in surgical patients . Surg Rev 1979;1:82-95. 11. Swanston AR, Grace ARH, Drake-Lee AB, et al: Anaerobic infection in acute mastoiditis . J Laryngol Otol 1983;97:633-634.Crossref 12. Bartlett JG, Gorbach SL: Anaerobic infections of the head and neck . Otolaryngol Clin North Am 1976;9:655-678. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

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References (13)

Publisher
American Medical Association
Copyright
Copyright © 1987 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1987.01860050060015
Publisher site
See Article on Publisher Site

Abstract

Abstract • During the period from July 1979 to December 1979, the bacteriology of 35 consecutive patients undergoing surgery for acute mastoiditis was studied. The patients' ages ranged from 3 to 13 years. All patients presented with a purulent otorrhea and a postauricular subperiosteal abscess and were subjected to a mastoidectomy within 12 hours of presentation. Specimens were obtained intraoperatively from the mastoid cavity and, using appropriate technology, were cultured for aerobic and anaerobic organisms. Bacteria were isolated from specimens of 32 patients (91.4%); specimens from three patients (8.6%) yielded no growth. Aerobes alone were cultured from four patients (11.4%); six patients' cultures (17.1%) yielded only anaerobes; and 22 patients' cultures (62.8%) had both aerobic and anaerobic organisms. Thus, anaerobes were cultured from a total of 28 patients (80.0%). (Arch Otolaryngol Head Neck Surg 1987;113:514-515) References 1. Finegold S: Anaerobic infections in otolaryngology . Ann Otol Rhinol Laryngol 1981; 90( (suppl 84) ):13-16. 2. Jokipii A, Karma P: Anaerobic bacteria in chronic otitis media . Arch Otolaryngol Head Neck Surg 1977;103:278-280.Crossref 3. Palva T, Halstrom 0: Bacteriology of chronic otitis media . Arch Otolaryngol Head Neck Surg 1965;82:359-364.Crossref 4. Brook I, Finegold SM: Bacteriology of chronic otitis media . JAMA 1979;241:487-488.Crossref 5. Brook I: Clindamycin in treatment of chronic recurrent suppurative otitis media in children . J Laryngol Otol 1980;94:607-615.Crossref 6. Brook I: Aerobic and anaerobic bacteriology of cholesteatoma . Laryngoscope 1981;91:250-253. 7. Beeden AG, Willis AT: A case of anaerobic middle ear infection with complications . J Laryngol Otol 1980;94:659-662.Crossref 8. Moloy PJ: Anaerobic mastoiditis: A report of two cases with complications . Laryngoscope 1982;92:1311-1315.Crossref 9. Brook I, Anthony B, Finegold S: Aerobic and anaerobic bacteriology of acute otitis media in children . J Pediatrics 1978;92:13-15.Crossref 10. Eykyn S, Phillips I: Anaerobic infections in surgical patients . Surg Rev 1979;1:82-95. 11. Swanston AR, Grace ARH, Drake-Lee AB, et al: Anaerobic infection in acute mastoiditis . J Laryngol Otol 1983;97:633-634.Crossref 12. Bartlett JG, Gorbach SL: Anaerobic infections of the head and neck . Otolaryngol Clin North Am 1976;9:655-678.

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: May 1, 1987

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