Article: AOM and AOMT are different entities.(acute otitis media)(otitis media through tympanostomy tubes)(Disease/Disorder overview)

Some controversy exists as to whether acute otitis media (AOM) and acute otitis media through tympanostomy tubes (AOMT) are different entities. The issue is clinically relevant because if there is a difference in their natural history, then there might be a difference in the way each is treated. I believe without question that they are indeed different.

Microbiology

Microbiologically, the organisms associated with AOM are Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, and some miscellaneous respiratory bacterial pathogens. (1) In AOMT, the most common organisms are H influenzae, S pneumoniae, Staphylococcus aureus, Pseudomonas ...

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