It is generally believed that Haemophilus influenzae is not commonly a causative agent of otitis media in children older than 5 years of age. We recently studied cases of 58 children, aged from 5 to 9 years, who had acute otitis media. Haemophilus species were the causative agents in 36% of cases. This high incidence of Haemophilus isolation from the middle ear exudate of these children has important therapeutic implications; antibiotics effective against H influenzae should be employed when dealing with otitis media in this older age group.
(JAMA 238:1032-1033, 1977)
Schwartz R, Rodriguez WJ, Khan AN, Ross S. Acute Purulent Otitis Media in Children Older Than 5 YearsIncidence of Haemophilus as a Causative Organism. JAMA. 1977;238(10):1032–1033. doi:10.1001/jama.1977.03280110036017
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