ÖSSZEFOGLALÁS:
A csecsemőkori otogen körfolyamatok gazdag irodalmát, számos vitatott kérdését felöleli Gerlóczy (6), György (8, 9), Jakabfi és Dévényi (11) referátuma, Thoenes és Müller (21), Biesalski (1) monográfiája. Ami az illetékességet illeti, a probléma súlyának nagyobbik fele nehezedik a gyermekgyógyász vállára, de a terhet csak az otologussal együtt viselheti. Brehme és Vollrath (2) az otologus és gyermekgyógyász állandó együttműködését elengedhetetlennek tartja.
The Iatrogenic Change of the Clinics of Otoantritis in Infants.
SUMMARY
Antibacterial treatment and microbiologic diagnostics changed the clinical picture of otoantritis in infants without reducing its significance. In cases of septic-toxic clinical pictures associated with otoantritis the focus is by all means to be removed after the toxic syndrom has been eliminated.
The notion of parenteral dyspepsia calls for an urgent revision.
Enteral infections especially the colidyspepsia infection ascribed to infectious hospitalism may activate the latent retrotympanal focus. The aetiology of the enteral and retrotympanal processes may be considered identical in case of similar bacteriological findings. The authors performed double mastoidectomy in 14 cases out of 126 patients. Latent otoantritis often follows recidivating cases of suppurative otitis media treated with antibiotics and produces toxic syndroms by means of superinfection. In the background of the distrophy a latent retroperitoneal focus may be present due to the insufficient antibacterial treatment of the acute stage of the illness. Removal of the focus is quite necessary but it should be performed only after the discontinuation of the toxic syndrom. The way of prevention of otoantritis and latent otoantritis is an early, aimed and properly dosed antibiotic treatment instead of repeated unsys- tematical and random antibiotic treatment.
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