Otitis media crónica supurada en ni？os

introduction. chronic suppurative otitis media is a stage of ear disease with a chronic inflammation of the middle ear and the mastoid and in which a nonintact tympanic membrane (perforation) and discharge (otorrhea) are present. to determine the clinical findings in chidren with chronic otitis media a longitudinal, prospective, descriptive study was performed during 3 months at the otorinolaryngology service of a pediatric hospital. population, material and methods. 115 patients with chronic suppurative otitis media were evaluated. results. 96 patients were included (51% [n=49] male-49% [n= 47] female). median age: 77 months (sd 43.78). median time of otorrhea was 12 months (range -1-175 months). unilateral chronic otitis media was present in 66.7% (64); the condition was bilateral in 33.3% (32). maxillary sinusitis was diagnosed in 50% (48) patients. microbiology: a total of 153 organisms were recovered from middle ear aspirates of the patients, 50% (48) grew mixed cultures the most common bacteria isolated was pseudomonas aeruginosa (53/153) and proteus (33/153). anaerobic bacteria were present in 18/153 cultures. topic treatment with boric acid in 70% alcohol solution dried otorrhea in 77% of cases treated initially with local treatment. conclusions. management of chronic suppurative otitis media in children must consider clinical findings, bacteriological isolates and therapeutic costs.