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. Author manuscript; available in PMC: 2024 Oct 1.
Published in final edited form as: Pediatr Infect Dis J. 2024 Jun 5;43(10):1004–1010. doi: 10.1097/INF.0000000000004413

TABLE 3.

Single and Combination of Multiple Otopathogens Colonizing the Nasopharynx and Middle Ear Fluid During an Acute Otitis Media Episode When Both Nasopharyngeal and Middle Ear Fluid Samples Were Collected

Total AOM Episodes (n = 139) Nasopharynx (n = 139) MEF (n = 139)
Spn only 11 (8%) 12 (9%)
Hflu only 21 (15%) 45 (32%)
Mcat only 20 (14%) 12 (9%)
Spn + Hflu 10 (7%) 6 (4%)
Spn + Mcat 31 (22%) 7 (5%)
Hflu + Mcat 19 (14%) 4 (3%)
Spn + Hflu + Mcat 11 (8%) 1 (1%)

These percentages are from AOM episodes for which both the nasopharyngeal and MEF samples were collected and excludes AOM episodes where either sample was not collected. Otopathogens were not detected in all AOM episodes. Spn + Hflu in the nasopharynx yielded both bacteria in the same MEF in all 6 cases. Spn + Mcat yielded both bacteria in the same MEF in 6 cases and 1 of each bacteria in separate MEF in 1 case. Hflu + Mcat yielded both bacteria in the same MEF in 4 cases. Spn + Hflu + Mcat yielded 3 bacteria in the same MEF.