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  1. NTU Scholars
  2. 醫學院
  3. 醫學院附設醫院 (臺大醫院)
Please use this identifier to cite or link to this item: https://scholars.lib.ntu.edu.tw/handle/123456789/557656
Title: Predominant role of Haemophilus influenzae in the association of conjunctivitis, acute otitis media and acute bacterial paranasal sinusitis in children
Authors: Hu, Ya-Li
PING-ING LEE 
PO-REN HSUEH 
CHUN-YI LU 
LUAN-YIN CHANG 
LI-MIN HUANG 
Chang, Tu-Hsuan
JONG-MIN CHEN 
Issue Date: 8-Jan-2021
Journal Volume: 11
Journal Issue: 1
Source: Scientific reports
Abstract: 
Haemophilus influenzae is a predominant pathogen for conjunctivitis, acute otitis media and acute bacterial paranasal sinusitis in children. We undertook this study to investigate the possible association among these diseases. Children younger than 18-year-old with a diagnosis of bacterial conjunctivitis plus acute otitis media and/or acute bacterial paranasal sinusitis during 2009-2018 were included. Sampling for bacterial cultures was obtained from the lower palpebral conjunctiva and/or ear discharge with cotton-tipped swabs. A total of 67 children were recruited and the age was 29.5 (± 22.4) months in average. Fifty-seven children had conjunctivitis-otitis media syndrome and eight of them had a concurrent diagnosis of acute paranasal sinusitis. Ten children had conjunctivitis and acute paranasal sinusitis simultaneously. Clusters in household were observed in 50.7% children. Most common isolates were Haemophilus influenzae (70%), Moraxella catarrhalis (18%), and Staphylococcus aureus (8%). Antibiotic resistance rate of H. influenzae was 80% for ampicillin, 18% for amoxicillin-clavulanate, and 11% for the second or third-generation cephalosporins. Apart from well-known conjunctivitis-otitis media syndrome, acute paranasal sinusitis may also be linked to conjunctivitis with a similar pathogenic process. Simultaneous presence of these infections may guide the choice of empiric antibiotics toward H. influenzae.
URI: https://scholars.lib.ntu.edu.tw/handle/123456789/557656
ISSN: 2045-2322
DOI: 10.1038/s41598-020-79680-6
SDG/Keyword: [SDGs]SDG3
acute disease; antibiotic resistance; bacterial conjunctivitis; child; drug effect; female; Haemophilus infection; Haemophilus influenzae; human; infant; isolation and purification; male; microbial sensitivity test; microbiology; otitis media; pathogenicity; preschool child; sinusitis; Acute Disease; Child; Child, Preschool; Conjunctivitis, Bacterial; Drug Resistance, Microbial; Female; Haemophilus Infections; Haemophilus influenzae; Humans; Infant; Male; Microbial Sensitivity Tests; Otitis Media; Sinusitis
Appears in Collections:醫學院附設醫院 (臺大醫院)

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臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

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