The microbiology of ear cultures in a high-burden setting in tropical Australia; implications for clinicians.
Clin Otolaryngol. 2019 Oct 01;:
Authors: Nofz L, Koppen J, De Alwis N, Smith S, Hanson J
1.In tropical Australia, the burden of ear infections is disproportionately borne by Indigenous Australians and those living in rural and remote locations. 2. Despite this study's tropical setting, the pathogens identified were similar to those seen in temperate climates, with Pseudomonas aeruginosa and Staphylococcus aureus, the most common isolates. 3. Antimicrobial resistance in Far North Queensland is increasing and ongoing surveillance is required, however the current national recommended first-line empirical therapies remain appropriate for almost all patients. 4. Although increasing, overall rates of resistance to commonly prescribed antimicrobials remain low and the burden of serious ear infections in tropical Australia are more likely due to the socioeconomic factors that drive these diseases. 5. Adjunctive measures - including regular aural toilet - and avoidance of aggravating factors is essential to help manage rising resistance rates.
PMID: 31574206 [PubMed - as supplied by publisher]