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Giannakopoulos, Polyvios MD*; Chrysovergis, Aristeidis MD, PhD†; Xirogianni, Athanasia PhD‡; Nikolopoulos, Thomas P. MD, PhD§; Radiotis, Alexandros MD, PhD*; Lebessi, Evangelia MD, PhD¶; Tsakanikos, Michail MD, PhD*; Tzanakaki, Georgina PhD‡; Tsolia, Maria N. MD, PhD‖
In the post–heptavalent pneumococcal conjugate vaccine era, Streptococcus pneumoniae remains the leading cause of acute mastoiditis and other complicated or refractory acute otitis media among hospitalized children in our settings. Serotype 19A is predominant, invasive and multidrug resistant causing more than half of all mastoiditis cases, two-thirds of cases with subperiosteal abscess and all those requiring mastoidectomy. Continuous surveillance is required.
© 2014 by Lippincott Williams & Wilkins, Inc.
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acute mastoiditis, refractory acute otitis media, complicated acute otitis media, Streptococcus pneumoniae serotype 19A, conjugate pneumococcal vaccine-heptavalent pneumococcal conjugate vaccine
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