Acute-Phase Reactants and Acute Bacterial Otitis Media

Mark A. Del Beccaro, Paul M. Mendelman, Andrew F. Inglis, Mark A. Richardson, Newton O. Duncan, Richard P. Shugerman

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

To determine if the erythrocyte sedimentation rate and C-reactive protein level are elevated in uncomplicated acute bacterial otitis media. —Investigator-blinded, antibiotic efficacy trial. —The emergency department of an urban regional children's hospital with 24 000 annual visits. —Thirty-one children with symptoms of acute bacterial otitis media of 7 days’ duration or less. —Volunteer sample. —Tympanocentesis, oral antibiotics for 10 days, and three follow-up visits in the next 30 days. —The erythrocyte sedimentation rate and C-reactive protein level were obtained at time of entry into the antibiotic study. Seventeen patients (55%; 95% confidence interval, 37% to 72%) had either an erythrocyte sedimentation rate above 20 mm/h or a C-reactive protein level above 8 mg/L. Eleven patients (35%) had a recurrent episode of acute bacterial otitis media during the follow-up period. The relative risk of recurrence of otitis media given an elevated erythrocyte sedimentation rate or C-reactive protein level was 8.24 (95% confidence interval, 1.20 to 56.74; Fisher's Exact Test; P=.007). —Clinicians who use elevated acute-phase reactants as possible indicators of invasive bacterial infections should be aware that an elevated erythrocyte sedimentation rate or C-reactive protein level is also consistent with acute bacterial otitis media. An elevated erythrocyte sedimentation rate or C-reactive protein level also appears to be associated with an increased risk of recurrence of acute bacterial otitis media. If these findings can be confirmed in a larger study, the erythrocyte sedimentation rate or C-reactive protein level could be used to assess the risk of recurrent otitis media.

Original languageEnglish (US)
Pages (from-to)1037-1039
Number of pages3
JournalAmerican Journal of Diseases of Children
Volume146
Issue number9
DOIs
StatePublished - Sep 1992

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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  • Cite this

    Del Beccaro, M. A., Mendelman, P. M., Inglis, A. F., Richardson, M. A., Duncan, N. O., & Shugerman, R. P. (1992). Acute-Phase Reactants and Acute Bacterial Otitis Media. American Journal of Diseases of Children, 146(9), 1037-1039. https://doi.org/10.1001/archpedi.1992.02160210039017