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Pregledni rad


Martina Maričić
Zrinka Bošnjak
Srećko Branica

Puni tekst: hrvatski, pdf (900 KB) str. 0-0 preuzimanja: 1.185* citiraj
APA 6th Edition
Maričić, M., Bošnjak, Z. i Branica, S. (2015). UPALA SREDNJEG UHA. Liječnički vjesnik, 137 (9-10), 0-0. Preuzeto s
MLA 8th Edition
Maričić, Martina, et al. "UPALA SREDNJEG UHA." Liječnički vjesnik, vol. 137, br. 9-10, 2015, str. 0-0. Citirano 12.11.2019.
Chicago 17th Edition
Maričić, Martina, Zrinka Bošnjak i Srećko Branica. "UPALA SREDNJEG UHA." Liječnički vjesnik 137, br. 9-10 (2015): 0-0.
Maričić, M., Bošnjak, Z., i Branica, S. (2015). 'UPALA SREDNJEG UHA', Liječnički vjesnik, 137(9-10), str. 0-0. Preuzeto s: (Datum pristupa: 12.11.2019.)
Maričić M, Bošnjak Z, Branica S. UPALA SREDNJEG UHA. Liječnički vjesnik [Internet]. 2015 [pristupljeno 12.11.2019.];137(9-10):0-0. Dostupno na:
M. Maričić, Z. Bošnjak i S. Branica, "UPALA SREDNJEG UHA", Liječnički vjesnik, vol.137, br. 9-10, str. 0-0, 2015. [Online]. Dostupno na: [Citirano: 12.11.2019.]

Middle ear infection is one of the most common childhood infections and the leading reason for antibiotic ­prescriptions. Although the etiological diagnosis is rarely discovered, successful identification of pathogens depends on properly collected sample, chosen method and microbiological analysis made on time. The most common bacterial pathogen is Streptococcus pneumoniae. Others include Haemophilus influenzae, Moraxella catarrhalis and Pseudomonas aeruginosa, known as the most common bacterial pathogen of chronic inflamations. Viral or polimicrobial upper respiratory tract infections often precede this infection. Pneumococcal conjugate vaccines given during infancy decrease rates of acute middle ear inflammation. It is a self-limited disease with rare complications. The best treatment is watchful waiting for two days followed by amoxicillin during 7 days, only if it is necessary. If there is resistance, then combination of amoxi­cillin and beta lactamase inhibitor is second line. The best choice for patients allergic to penicillin are macrolides. Anti­biotic treatment has contributed to frequent relapses and increase of multi-drug resistant pathogens by permitting their colonization, which eliminates protective nasopharyngeal flora.

Ključne riječi
Otitis media – microbiology, diagnosis, drug therapy; Respiratory tract infections – complications; Nose – microbiology; Nasopharynx – microbiology; Straptococcus pneumoniae – isolation and purifi cation; Haemophilus infl uenzae – isolation and purifi cation; Anti-bacterial agents – therapeutic use; Amoxicillin – therapeutic use; Pneumococcal vaccines – therapeutic use; Vaccines, conjugate – therapeutic use

Hrčak ID: 172732



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