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Antibiotic resistance of microorganisms involved in ear, nose and throat infections

Streptococcus pneumoniae accounts for approximately 30 to 50% of episodes of acute otitis media 1-3 and is probably involved as part of the mixed flora in an additional percentage of cases. Whether detectable or not, S. pneumoniae should be a target of the antimicrobial regimens used for most, if not all, ear, nose and throat (ENT) infections. Both type b and non-capsulated strains of Haemophilus influenzae are probably the next most commonly involved pathogens in ENT infections. In children noncapsulated H. influenzae is heavily associated with acute otitis media. Moraxella catarrhalis, a particularly frequent inhabitant of the oropharyngeal cavity in children, is now considered to be a frequent etiologic agent in acute otitis media