市中病院における小児急性中耳炎鼓膜切開症例の検討

概要

論文の詳細を見る
Objectives: To assess the efficacy of myringotomy for mild or severe acute otitis media cases conducted in our department and examine search backgrounds of these cases. Methods: We studied 72 cases (117 ears) in which we carried out a myringotomy. Results: The following results were obtained. 1. The frequency of detection of PISP in this study was greater than that in a 2007 National surveillance. 2. The treatment of mild acute otitis media cases with high dose AMPC, high dose CFPN-PI or AMPC/CVA (14:1) was effective. As a result, the cases of myringotomy in our department decreased from 44 cases in 2010 to 14 cases in 2011. 3. The efficacy rate 3 weeks after myringotomy was 91.7%, which is higher than that of other reports. On the other hand, the recurrence rate was 40.3%, which required treatments.