Acute Otitis Media-Concept Map
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MACCAPA CHANCA John COURSE : ENT, GROUP : B TOPIC : ACUTE OTITIS MEDIA-CONCEPTUAL MAP
OTITIS MEDIA AGUDA (OMA)
Inflamación del oído medio, de inicio súbito,
secundario a una infección de la vía superior
EPIDEMIOLOGÍA
- ES UNA IRA MAS FRECUENTE EN PEDIATRIA
ETIOLOGÍA -ES MAS FRECUENTE EN VARONES EN INVIERNO
Colonización de bacterias: - Las infecc. virales son un 41%
- Virus Sincitial respirat. (74%) - Maxima incidencia entre 6-12 meses de edad
SPORADIC AOM
- Parainfluenza (52%)
PERSISTENT AOM
- Streptococo pneumoniae (52.2%)
- haephilus Influenzae (31.9%)
- Moxarella Catarralis (4-9%)
FORMAS CLINICAS
REPETITION OMA
RECURRENT AOM
AND INCLINATION
TO AOM
FACTORES DE RIESGO FISIOPATOLOGÍA CLÍNICA DIAGNOSTICO TRATAMIENTO
Resolucion espontane de 7 - 14
dias
ENVIRONMENTAL Antibiotic justified in > 2
-Kindergarten attendance years of age and patients
- LME absent or > 3 m. Anatomical obstruction or - Nuematic Otoscopy or with otorrhea
-Exposic. Tobacco smoke muscular failure of the Otalgia, Irritability, - Simple Otoscopy with
-Winter time Eustachian tube produces thickened hyperemic Tympanometer or
alteration. From the tympanic membrane, reflectometer INFECTION
pressure of the middle ear, fluid in the middle ear,
causing inflammation of the fever, headache,
mucosa of the NO YE
cough, rhinitis,
FROM THE GUEST pharyngotympanic tube due
anorexia, vomiting,
-Genetic to smoking, allergies,
-Immunodeficiencies
-Atopy
1st . AMOXICILLIN
-Gastroesophageal reflux STAGES NSAIDs: IM, VO
2nd . Amoxicillin + a.
-Malfor. congenital - Paracetamol:
Clavulanic.
- cleft palate - Ibuprofen:
1.TUBOTYMPANITIS: discrete hyperemia over the hammer
3rd . Ceftriaxone IM
- Sd. down
handle, exudate or effusion. 4th . If you are allergic
2. HYPEREMICA: Otalgia, general malaise, fever ≥ 39 °C to PNC
3. EXUDATIVE: intense otalgia, vomiting, nausea, anorexia, - Clarithromycin or
myalgia, fever ≥ 39 °C, high and low hearing loss. Clindamycin or
4. SWEATING: fever ≥ 40 °C, intense and pulsating otalgia,
bulging, tense, immobile TM, fluid and necrosis, TM perforation,
otorrhagia
UDABOL
MACCAPA CHANCA John COURSE : ENT, GROUP : B TOPIC : ACUTE OTITIS MEDIA-CONCEPTUAL MAP
BIBLIOGRAPHY
1. Jorge Yolik Ramírez Marín, Carlos Adrián Merelo Arias, Renzo Pérez Dórame, Karla Strassburger Lona, Carlos de Jesús Álvarez Díaz,
“Acute Otitis Media. A clinical and therapeutic approach”, Rev. Fac. Med. (Méx.) vol.60 no.1 Mexico City Jan./Feb. 2017.
2. F. del Castillo Martín, F. Baquero Artigao, MJ García Miguel, A. Méndez Echevarría, “Acute otitis media”, Pediatric Infectious Diseases
Unit. *General Pediatrics Service. La Paz Children's Hospital. Madrid. Diagnostic-therapeutic protocols of the AEP: Pediatric infectious
diseases.
3. Stephannie Quesada Solano, Fidel Mackenzie Visbal, Melvin Cortés Mejía, “Acute otitis media: generalities and antibiotic resistance”, Costa
Rica, Revista Médica Sinergia Vol.4 Num: 5 - May 2019 pp: 130 – 138.
