Conjuncitivits-otitis syndrome
Younger children and those with multiple AOM that year had higher risk for developing Otitis media associated with the conjunctivitis. Up to 25% of patients with conjunctivitis have concurrent otitis media (even in the abscence of ear pain) and up to 73% of patients with purulent conjunctivitis. Non-typeable H. influenzae is the most common recovered bacteria. For these patients, systemic (oral) antibiotics are recommended and the topical ophthalmic antibiotics are NOT necessary. Antibiotics should cover beta-lactamase producing organisms, e.g. high dose amoxicillin-clavulanic acid (45 mg/kg BID). Every patient with conjunctivitis should have an examination of his/her tympanic membraness, as your management may change. http://pedemmorsels.com/conjunctivitis-and-conjunctivitis-otitis-syndrome/ Comments are closed.
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