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  • Title: Microbiology of otitis media: a moving target.
    Author: Vergison A.
    Journal: Vaccine; 2008 Dec 23; 26 Suppl 7():G5-10. PubMed ID: 19094935.
    Abstract:
    The microbiology of acute otitis media (AOM) is linked to the nasopharyngeal commensal flora. This respiratory ecosystem undergoes various selective pressures, such as antibiotic consumption and vaccine use. Socio-economic conditions also influence the bacterial composition of the nasopharynx. Streptococcus pneumoniae, non-encapsulated Haemophilus influenzae, Moraxella catarrhalis, and group A Streptococcus are the leading causes of bacterial AOM worldwide. This paper will discuss the causes and consequences of recent shifts in the underlying microbiology of AOM.
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