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作者对214名(男孩111名、女孩103名,年龄3月～15岁,平均5.8岁)耳流脓,曾由双亲用抗生素滴耳剂和不恰当的全身抗生素治疗的儿童,在首次就诊时从一侧流脓耳中采取标本进行细菌学研究。细菌培养结果26份标本无细菌生长,28份标本为二种细菌混合生长,160份标本为一种细菌生长。本组绿脓杆菌生长65份(27%)、变形杆菌生长64份(26%)、链球菌生长36份(15%)、葡萄球菌生长29份(12%)。急性中耳炎中最常见的化脓菌为流感嗜血杆菌、肺炎球菌和β-溶血性链球菌(Shambaugh等,1973)。流感嗜血杆菌为5岁以下儿童中最常见的病原菌(Proctol,1978),而变形杆菌和绿脓杆菌多经外耳道进入中耳。本组以绿脓杆菌、变形杆菌和葡萄球菌替代了在急性中
The author of 214 children (111 boys, 103 girls, aged 3 months to 15 years, mean 5.8 years old) suppurative, had parents with antibiotic ear drops and inappropriate systemic antibiotics in children at the first visit From one side of the purulent ear to take specimens for bacteriological studies. Bacterial culture results 26 specimens without bacterial growth, 28 specimens mixed growth of two bacteria, 160 specimens of a bacterial growth. This group of Pseudomonas aeruginosa growth of 65 (27%), Proteus growth 64 (26%), Streptococcus 36 (15%), Staphylococcus 29 (12%) growth. The most common pyogenic bacteria in acute otitis media are Haemophilus influenzae, pneumococcus and beta-hemolytic streptococcus (Shambaugh et al., 1973). Haemophilus influenzae is the most common pathogen in children under 5 years of age (Proctol, 1978), while Proteus and Pseudomonas aeruginosa enter the middle ear through the external auditory meatus. This group of Pseudomonas aeruginosa, Proteus and Staphylococcus replaced in the acute