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Typing of Pseudomonas aeruginosa ear infections related to outcome of treatment

Published online by Cambridge University Press:  29 June 2007

Moshe Englender ,
Moshe Harell ,
Ruth Guttman  and
Shmuel Segal
Moshe Englender*
Affiliation:
Department of Otolaryngology, Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania
Moshe Harell
Affiliation:
Department of Otolaryngology, The E. Wolfson Hospital, Holon, Israel
Ruth Guttman
Affiliation:
Head, Microbiological Laboratory, The E. Wolfson Hospital, Holon, Israel
Shmuel Segal
Affiliation:
Department of Otolaryngology, The E. Wolfson Hospital, Holon, Israel
*
Moshe Englender, M.D., Department of Otolaryngology, The E. Wolfson Hospital, Holon, Israel.
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Abstract

Of 142 patients with Pseudomonas aeruginosa (PSA) ear infections, 88 (62 per cent) had chronic otitis media and 54 (38 per cent) external otitis. Following serotyping and pyocin typing of their bacteria, and relating the type to outcome, patients could be divided into three groups: (1) 120 patients who had no recurrence with isolation of only one PSA strain, (2) 13 patients who had recurrent infections and in whom the same PSA strain was isolated in repeated cultures, and (3) nine patients who had recurrent disease, but who had a change in their PSA strains. Most of the PSA strains isolated from patients in groups (1) and (2) were stable to pyocin, and resistent to gentamicin.

Patients in the first group were all cured initially by medical management. Of the nine patients in group (3) who had a different serotype on repeated cultures, medical treatment was successful in eight (89 per cent), but of the 13 patients in group (2) who had the same Pseudomonas aeruginosa serotype cultured, medical therapy failed in six (46 per cent) and mastoid surgery was required. Serotyping of Pseudomonas aeruginosa otitis may be helpful in predicting the type of management in patients who have recurrent infections.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 9 , September 1990 , pp. 678 - 681
Copyright
Copyright © JLO (1984) Limited 1990

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References

Baltch, A. L., Griffin, P. E. (1972) Pseudomonas aeruginosa: Pyocin types and clinical experience with infections in a general hospital. American Journal of Medical Sciences, 264: 233–246.CrossRefGoogle ScholarPubMed
Bluestone, C. D. (1988) Current management of chronic suppurative otitis media in infants and children. Journal of Pediatric Infectious Disease, 7: S137–S140.CrossRefGoogle ScholarPubMed
Brokopp, C. D., Farmer, J. J. (1979) In Pseudomonas Aeruginosa, Clinical Manifestations of Infection and Current Therapy. (Doggett ed.) Academic Press, Inc.: New York, p. 89–133.Google Scholar
Chandler, J. (1968) Malignant external otitis. Laryngoscope, 78: 1257–1294.CrossRefGoogle ScholarPubMed
Cross, A. S. (1985) Evolving epidemiology of Pseudomonas aeruginosa infections. European Journal of Clinical Microbiology, 4: 156–159.CrossRefGoogle ScholarPubMed
Del Piano, M., La Palombara, P., Picci, A., Nicosia, R. (1986) Serological and pyocin typing and antibiotic sensitivity of Pseudomonas aeruginosa strains. Microbiologica. 9: 253–258.Google ScholarPubMed
Edmonds, P., Suskind, R. R., Macmillan, B. G., Holder, I. A. (1972) Epidemiology of Pseudomonas aeruginosa in a burn hospital: Evaluation of serological, bacteriophge and pyocin typing methods. Applied Microbiology, 24: 213–218.CrossRefGoogle Scholar
Farmer, J. J., Weinstcin, R. A., Zicrtd, C. H., Brokopp, C. D. (1982) Hospital outbreaks caused by Pseudomonas aeruginosa: Importance of scrogroup 0–11. Journal of Clinical Microbiology, 16: 266–345.CrossRefGoogle Scholar
Fyfe, J. A. M., Harris, G., Govan, J. R. W. (1984) Revised pyocin typing method for Pseudomonas aeruginosa. Journal of Clinical Microbiology, 20: 47–50.CrossRefGoogle ScholarPubMed
Gessard, C. (1882) Sur les colorations bleues et vertcs des linges a pansements. Compte Rendu Seances Academic Scientifique (Serie D), 94: 536–538.Google Scholar
Gillies, R. R., Govan, J. R. W. (1966) Typing of Pseudomonas pyocyanea by pyocin production. Journal of Pathological Bacteriology, 91: 339–345.CrossRefGoogle Scholar
Habs, I. (1957) Untersuchungen uber die O-Antigen von Pseudomonas aeruginosa. Zeitschrift für Hygiene und Infektionskr ankheitin (Berlin), 144: 218–228.CrossRefGoogle ScholarPubMed
Harker, L. A., Koontz, F. P. (1977) In Cholesteatoma, First International Conference(Birmingham, AL)Aesculapius, p 264.Google Scholar
Heckman, M. G., Babock, J. B., Rose, H. D. (1972) Pyocin typing of Pseudomonas aeruginosa: Clinical and epidemiologic aspects. American Journal of Clinical Pathology, 57: 35–42.CrossRefGoogle ScholarPubMed
Kenna, A. M., Bluestone, C. D. (1987) In Recent Advances in Otitis Media. Proceedings of the Fourth International Symposium. (Lim, , Bluestone, , Kleine, , Nelson, ) B. C. DeckerToronto, Philadelphia, p. 222–227.Google Scholar
Kenna, A. M., Bluestone, C. D., Reilly, J. (1986) Medical management of chronic suppurative otitis media without cholesteatoma in children. Laryngoscope, 96: 146–151.CrossRefGoogle ScholarPubMed
Komiyama, K., Habbick, B. F., Martin, T., Tumber, S. K. (1987) Characterization by pyocin typing and serotyping of oral and sputum strains of Pseudomonas aeruginosa isolated from cystic fibrosis patients. Canadian Journal of Microbiology, 33: 221–225.CrossRefGoogle ScholarPubMed
Kusama, H. (1978) Serological classification of Pseudomonas aeruginosa by slide agglutination test. Journal of Clinical Microbiology, 8: 181–188.CrossRefGoogle ScholarPubMed
Legakis, N. J., Aliferopoulou, M., Papavassiliou, J., Papapetropoulou, M. (1982) Serotypes of Pseudomonas aeruginosa in clinical specimens in relation to antibiotic susceptibility. Journal of Clinical Microbiology, 16: 458–463.CrossRefGoogle ScholarPubMed
Mayo, M. S., Cook, W. L., Schlitzer, R. L., Ward, M. A., Wilson, L. A., Ahearn, D. G. (1986) Antibiogram serotypes and plasmid profiles of Pseudomonas aeruginosa with corneal ulcers and contact lens wear. Journal of Clinical Microbiology, 24: 372–376.CrossRefGoogle ScholarPubMed
Meyerhoff, W. L., Gates, G., Montalbo, P. J. (1977) Pseudomonas mastoiditis. Laryngoscope, 87: 483–486.CrossRefGoogle ScholarPubMed
Nadol, J. B. (1980) Histopathology of Pseudomonas osteomyelitis of the temporal bone starting as malignant external otitis. American Journal of Otolaryngology, 1: 359–371.CrossRefGoogle ScholarPubMed
Osman, M. A. (1965) Pyocin typing of Pseudomonas aeruginosa. Journal of Clinical Pathology, 18: 200–202.CrossRefGoogle ScholarPubMed
Pitt, T. L. (1980) Stateof the art: Typing Pseudomonas aeruginosa. Journal of Hospital Infections, 1: 193–199.CrossRefGoogle Scholar
Seal, T. W., Thirkill, H., Tarpay, M., Flux, M., Owen, M. (1979) Serotypes and antibiotics susceptibilities of Pseudomonas aeruginosa isolates from single sputa of cystic fibrosis patients. Journal of Clinical Microbiology, 9: 72–78.CrossRefGoogle Scholar
Stewart, D. J., Young, M. (1971) Factors affecting adsorption of a pyocin by cells of Pseudomonas aeruginosa. Microbios, 3: 15–22.Google ScholarPubMed