Etiology of Childhood Otorrhea in Luanda, Angola, and a Review of Otitis Media in African Children

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Karppinen , M , Bernardino , L , dos Anjos , E , Pätäri-Sampo , A , Pitkäranta , A , Peltola , H & Pelkonen , T 2019 , ' Etiology of Childhood Otorrhea in Luanda, Angola, and a Review of Otitis Media in African Children ' , Pediatric Infectious Disease Journal , vol. 38 , no. 6 , pp. 577-581 . https://doi.org/10.1097/INF.0000000000002254

Title: Etiology of Childhood Otorrhea in Luanda, Angola, and a Review of Otitis Media in African Children
Author: Karppinen, Mariia; Bernardino, Luis; dos Anjos, Elizabete; Pätäri-Sampo, Anu; Pitkäranta, Anne; Peltola, Heikki; Pelkonen, Tuula
Contributor: University of Helsinki, HUS Children and Adolescents
University of Helsinki, HUSLAB
University of Helsinki, Department of Ophthalmology and Otorhinolaryngology
University of Helsinki, Lastentautien yksikkö
University of Helsinki, Children's Hospital
Date: 2019-06
Language: eng
Number of pages: 5
Belongs to series: Pediatric Infectious Disease Journal
ISSN: 0891-3668
URI: http://hdl.handle.net/10138/312890
Abstract: Background: In resource-poor settings, otorrhea causes a significant burden of disease in children. Etiologic studies and structured data on otorrhea and chronic otitis media among African children remain scarce. Methods: Here, we reviewed 678 bacteriologically analyzed otorrhea samples from Luanda Children's Hospital from children Results: Overall, 32 different bacteria were identified among 542 isolates from 654 children in Luanda. Gram-negative bacteria constituted the majority of all isolates (85%), whereby Pseudomonas spp. was the most common (n = 158; 29%), followed by Proteus spp. (n = 134; 25%). Among Staphylococcus aureus (n = 54; 10%), 69% of tested isolates were Methicillin-resistant S. aureus, and among Enterobacteriaceae, 14% were expanded-spectrum beta-lactamase isolates. Resistance to quinolones was rare. Furthermore, in a review of the literature, we found a high occurrence of otorrhea and chronic suppurative otitis media in children as well as possible gaps in existing knowledge. Conclusions: In Angola, Gram-negative rods emerged as common causative agents of otorrhea in children followed by S. aureus. The magnitude of chronic otorrhea in Africa represents a cause for public health concern.
Subject: chronic suppurative otitis media
ear discharge
developing country
microbiology
child
BACTERIOLOGY
3123 Gynaecology and paediatrics
3125 Otorhinolaryngology, ophthalmology
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