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Article
October 1953

IMPORTANCE OF BACTERIOLOGY IN EAR INFECTIONS

AMA Arch Otolaryngol. 1953;58(4):425-430. doi:10.1001/archotol.1953.00710040447005
Abstract

INFECTIONS of the ear are usually classified as infections of the external ear, the middle ear, and the inner ear, in accordance with the scheme indicated in the following outline:

  • External otitis

    • {Circumscribed Acute Diffuse

    • Chronic {Suppurative Eczemotoid

  • Otitis media

    • Acute {With effusion Suppurative Necrotic

    • {Mucopurulent Bone necrosis Cholesteatoma

  • Inner-Ear infections, or labyrinthitis

We should like to classify these infections in a slightly different manner to emphasize the difference in bacteriological etiology. This etiology, in turn, has a great deal to do with the therapeutic approach to each individual problem.

Bacteriologically, ear infections can be classified as:

  • Infections arising via the Eutachian tubes

    1. Acute and chronic otitis media

    2. External otitis secondary to otitis media

    3. Labrynthitis secondary to otitis media

Etiology: Streptococcus, Pneumococcus, Staphylococcus, and so on

Therapy: Penicillin, sulfonamides, aureomycin, oxytetracycline (Terramycin), chloramphenicol (chloromycetin), streptomycin (via blood stream)

Infections arising via the Eustachian

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