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Table 2 Gender, age, diagnosis, species presence and microscopic evidence of biofilm and intracellular bacteria using Fluorescence In Situ hybridisation (FISH) in middle ear mucosal biopsies and effusions assayed using culture, PCR and FISH methods for pathogen detection.

From: Multi-species bacterial biofilm and intracellular infection in otitis media

     

PCR

FISH

  

Child No.

Sex

(Age, yr)

Ear

Diagnosis

Current Abx

Culture

Spn

EUB

Spn

Hi

Mcat

Sau

Biofilm

Intracellular bacteria

Children with recurrent acute otitis media

4

F (1.4)

R

RAOM

N

-

-

+

na

+

+

na

+

+

5

M (1.8)

L

RAOM

N

na

na

+

-

+

na

na

-

+

6

F (3.2)

L

RAOM

N

na

na

+

na

+

-

na

+

+

7

M (6.1)

L

RAOM

N

+ mixed

+

+

+

na

-

na

-

+

8

F (9.3)

L

RAOM, Cholesteatoma

N

na

na

+

-

na

+

na

-

-

Children with recurrent acute otitis media and otitis media with effusion

9

M (1.4)

R

RAOM, OME

Y

-

-

+

na

-

+

na

+

+

10

M (1.8)

L

RAOM, OME

N

+ Spn, Mcat

+

+

+

na

+

na

+

+

11

F (1.8)

L

RAOM, OME

Y

-

+

+

-

+

na

na

-

+

12

F (3.5)

L

RAOM, OME

N

-

-

-

na

-

-

na

-

-

13

M (7.5)

L

RAOM, OME

N

-

-

+

na

+

+

na

+

+

14

F (8.9)

L

RAOM, OME

N

na

na

+

+

-

na

na

+

+

Children with otitis media with effusion

15

M (1.5)

L

OME

N

na

na

+

-

-

na

na

+

-

16

F (5.4)

L

OME

N

+ CNS

-

+

na

-

+

na

+

+

17

F (6.0)

L

OME

N

+ Sau

-

+

na

na

-

+

+

+

18

F (6.3)

R

OME

N

na

na

-

-

na

-

na

-

-

19

F (8.0)

R

OME

N

na

na

+

-

-

na

na

+

-

20

M (9.9)

R

OME

N

na

na

+

+

na

+

na

+

+

Control cochlear implant

21

F (1.6)

L

Sensorineural hearing loss

N

na

na

-

-

-

na

na

-

-

Positive from number tested (not including healthy control)

2/17

4/9 (44%)

3/9 (33%)

15/17 (88%)

4/10 (40%)

5/11 (45%)

7/12 (58%)

1/1

11/17 (64%)

12/17

(71%)

  1. Biopsies are from children undergoing ventilation tube insertion for COME and recurrent AOM as well as a negative control from a child with no history of middle ear disease undergoing cochlear implantation surgery.
  2. Abbreviations: EUB - eubacterial probe, Spn - S. pneumoniae (organism and probe), Hi - H. influenzae (organism and probe), Mcat - M. catarrhalis (organism and probe), Sau - S. aureus (organism and probe), CNS - Coagulase negative staphylococci (organism). na - Not available.