Otitis media: conceptos actuales

Autores/as

  • Hernán Sierra Fernández Instituto de Atención Pediátrica
  • Malka Schutz Faingezicht Instituto de Atención Pediátrica
  • Cecilia Loaiza Mendoza Instituto de Atención Pediátrica
  • Adriano Arguedas Mohs Universidad de Ciencias Médicas

DOI:

https://doi.org/10.51481/amc.v46i3.146

Palabras clave:

otitis media aguda, otitis media recurrente, otitis media falla terapéutica

Resumen

La otitis media aguda es uno de los motivos más frecuentes de consulta en la edad pediátrica. Los gérmenes que con mayor frecuencia se aíslan en el oído medio de estos pacientes son el Streptococcus pneumoniae, el Haemophilus influenzae, la Moraxella catarrhalis y el Streptococcus pyogenes. El patrón de resistencia antibiótica de estas bacterias varía dependiendo de la región geográfica, y es la base fundamental para establecer recomendaciones terapéuticas. El análisis en Costa Rica, de la microbiología de la otitis media aguda, otitis media recurrente y otitis media catalogada como falla terapéutica, sugiere que la amoxicilina en una dosis de 50 mg/Kg/día por 10 días, debe ser considerada el antibiótico de primera línea en los casos de otitis media aguda. En los pacientes con otitis media recurrente, falla antimicrobiana o cuando se sospeche la presencia de un Streptococcus pneumoniae resistente a la penicilina, se debe considerar el uso de amoxicilina en dosis más elevadas, amoxicilina con ácido clavulánico, macrólidos o ceftriaxona.

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Publicado

2004-07-01

Cómo citar

Sierra Fernández, H., Schutz Faingezicht, M., Loaiza Mendoza, C., & Arguedas Mohs, A. (2004). Otitis media: conceptos actuales. Acta Médica Costarricense, 46(3), 125–131. https://doi.org/10.51481/amc.v46i3.146