slide1 n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
AOM PowerPoint Presentation
Download Presentation
AOM

Loading in 2 Seconds...

play fullscreen
1 / 15

AOM - PowerPoint PPT Presentation


  • 142 Views
  • Uploaded on

AOM. Otitis Media. Otitis Media with effusion (OME) Acute Otitis Media (AOM) Recurrent AOM Chronic Otitis Media/Chronic Otitis Media with effusion Chronic Suppurative Otitis Media (CSOM). Epidemiology. Seasonal Peak: winter months

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'AOM' - troy-curtis


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
otitis media
Otitis Media
  • Otitis Media with effusion (OME)
  • Acute Otitis Media (AOM)
  • Recurrent AOM
  • Chronic Otitis Media/Chronic Otitis Media with effusion
  • Chronic Suppurative Otitis Media (CSOM)
epidemiology
Epidemiology
  • Seasonal Peak: winter months
  • 90% of children have at least one symptomatic or asymptomatic episode by 2yrs of age
  • Incidence Peaks: 6-18months of age
risk factors
Risk Factors
  • Age <2yrs
  • Atopy
  • Bottle propping
  • Chronic sinusitis
  • Ciliary dysfunction
  • Cleft palate and craniofacial anomalies
  • Child Care attendance
  • Down Syndrome and other genetic conditions
pathogenesis
Pathogenesis
  • Impaired eustachian tube function
  • Negative pressure increases
  • Nasopharyngeal contents are aspirated into middle ear
  • Increased vascular permeability: development of MEE
viruses
Viruses
  • RSV
  • Paraflu (types 1,2,3)
  • Influenza (type A and B)
  • Adenovirus
  • Coronavirus
bacteria
Bacteria
  • Streptococcus Pneumoniae
  • Nontypeable Hemophilus influenza
  • Moraxella catarrhalis
  • S. pyogenes (Group A strep)
  • Staph Aureus (less common)
pe ome vs aom
PE: OME vs AOM
  • Fluid in middle ear space
  • AOM: inflammation, specifically otalgia and fever
  • OME: TM appears opaque or cloudy
  • AOM: red or dark-yellow discoloration of TM or bulging of TM
management
Management
  • Observation
  • Treatment
management1
Management
  • <6months: antibacterial therapy
  • 6months to 2years with certain diagnosis: antibacterial therapy
  • 6months to 2 years with uncertain diagnosis: antibacterial therapy or observation
  • 2yrs and up with certain diagnosis: antibacterial therapy or observation
  • 2yrs and up with uncertain diagnosis: observation
antibiotic
Antibiotic
  • High dose amoxicillin: 80-90mg/kg/day
  • Alternative for penicillin allergy
  • Augmentin 90mg/kg per day of amox component
  • Ceftriaxone
  • Clindamycin
complications
Complications
  • Mastoiditis
  • Acute labyrinthitis
  • Petrositis
  • Meningitis
  • Brain Abscess
  • Epidural Abscess
  • Otitic hydrocephalus