Strep pneumoniae and otitis media adults

Testing in the acute phase is generally unhelpful, because all children with AOM have conductive hearing loss associated with the middle ear effusion. Most Popular Articles According to Family Medicine Physicians. In the s, S pyogenes relinquished this distinction to S pneumoniae, but it remains a prominent pathogen when this disease is encountered in very young persons. For critically ill patients or patients with an immunocompromising condition, consideration should be given to including vancomycin in the initial treatment regimen when S. Influenza vaccine is strongly recommended for any person older than 6 months in whom age or an underlying medical condition creates increased risk for complications of influenza. Otitis media with effusion in young children.

Illustration A shows an algorithm for determining which patients should receive pneumococcal vaccination. All adults age 65 and older should receive both vaccines. Saunders Elsevier Science ;