Avtor/Urednik		Čižman, Milan
Naslov		Pogled pediatra infektologa na obravnavanje akutnega vnetja srednjega ušesa pri otrocih
Prevedeni naslov		A pediatrician - infectologist's aspect on acute otitis media treatment in children
Tip		članek
Vir		Med Razgl
Vol. in št.		Letnik 35, št. Suppl 6
Leto izdaje		1996
Obseg		str. 67-70
Jezik		slo
Abstrakt		Acute otitis media is the most common bacterial infection in young children and the most common reason for antimicrobial prescription in children. In approximately 50-70 % of patients with acute otitis media bacteria can be isolated from middle ear fluid; viruses alone or in combination with bacteria can be found in 10-20 % patients. Antimicrobial agents are recommended when a bacterial etiology is suspected; especially in children with high temperature, severe pain or with persistent symptoms in symptomatic therapy. Amoxicillin and for older children penicillin are the drug of choice. Beta-lactamase stable antibiotics should be used under several circumstances including cases of symptomatic failure of primary therapy, in patients with frequent recurrences when in vivo resistance was documented, in immunocompromised children, and in young infants. There are many factors to consider in selecting an appropriate agent including efficacy, safety, tolerance, ease of administration, the physician's experience, and cost. The duration of treatment of acute otitis media usually lasts 5-10 days. More attention should be payed in diagnosis of acute otitis media by non-otolaryngologists and to rational antibiotic therapy.
Izvleček		Akutno vnetje srednjega ušesa je najpogostejša bakterijska okužba majhnih otrok in najpogostejši vzrok predpisovanja antibiotikov pri njih. V približno 50-70 % povzročajo okužbo bakterij in v 10-20 % virusi sami ali skupaj z bakterijo. Antibiotik priporočamo ob sumu na bakterijski vzrok vnetja, to je kadar imajo otroci visoko vročino, hude lokalne težave in ti simptomi ne minejo po simptomatskem zdravljenju. Antibioktika izbora sta amoksicilin in za večje otroke penicilin. Otrokom, pri katerih ni bilo učinkovito primarno zdravljenje z antibiotikom ali če osamimo odporne bakterije, otrokim s pogostim ponavljajočim se vnetjem srednjega ušesa, imunsko oslabljenim otrokim in zelo majhnim dojenčkom predpišemo proti betalaktamazam odporne antibiotike. Pri izboru antibiotika upoštevamo učinkovitost, stranske učinke, sprejemljivost, način dajanja, zdravnikove izkušnje in ceno. Zdravljenje traja večinoma 5-10 dni. Akutnemu vnetju srednjega ušesa moramo posvetiti več pozornosti, zlasti primernemu antibiotičnemu zdravljenju in diagnozi te bolezni s strani neotologov.
Deskriptorji		OTITIS MEDIA ANTIBIOTICS CHILD ACUTE DISEASE