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OM recurrence? Not really. (Clinical Capsules).

Acute otitis media infections recurring within a month after children complete antibiotic therapy are often new infections, said Dr. Eugene Leibovitz and his colleagues at Ben-Gurion University of the Negev, Beersheba, Israel. In a study of 834 children (aged 3-36 months) with acute otitis media, 166 (20%) had a documented clinical recurrence within 3 to 4 weeks after a course of antibiotics (Pediatr. Infect. Dis. J. 22[3]:209-15, 2003). Of these, 108 had tympanocentesis and middle ear culture, and only 28% were actual relapses--12% from Streptococcus pneumoniae, 11% from Haemophilus influenzae, and 5% with both S. pneumoniae and H. influenzae. All the actual relapses caused by H. influenzae occurred within 14 days after the end of antibiotic therapy, but no significant differences in the time of recurrence of S. pneumoniae were found.

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Title Annotation:acute otitis media
Author:Splete, Heidi
Publication:Pediatric News
Article Type:Brief Article
Geographic Code:7ISRA
Date:May 1, 2003
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