XXXX media: update on etiology and management.

@entity1 @entity697 @entity2260 @entity6932 @entity158 @entity328 @entity2346
Thirty @entity1 with clinical evidence of @entity2346 media underwent tympanocentesis. @entity328 was the predominant organism recovered (63%). Three cases of @entity6932 , alone or in combination with @entity2260 , were identified. Other organisms found were Staphylococcus albus, Neiserria species. Group A B-hemolytic @entity328 , and anaerobes. In four @entity1 (13%) no organism was recovered. All isolates were ampicillin susceptible. No relationship was found between WBC, temperature, or age and the organism recovered. Tympanocentesis did not provide any information resulting in an alteration of therapy. Tympanocentesis may be indicated for relief of @entity158 or for periodic surveillance of organism sensitivities, but is not justified in the emergency department for uncomplicated @entity697 . [Friedman A, Fleisher GR, Henretig F, Handler S, Campos JM: @entity2346 media: Update on etiology and management. Ann Emerg Med 11:181-183, April 1982.]
