RT Book, Section A1 Hay, Jr, William W. A1 Levin, Myron J. A1 Deterding, Robin R. A1 Abzug, Mark J. SR Print(0) ID 1145457562 T1 Otitis Media, Chronic Suppurative T2 Quick Medical Diagnosis & Treatment Pediatrics YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9781264257614 LK accesspediatrics.mhmedical.com/content.aspx?aid=1145457562 RD 2024/03/29 AB Persistent otorrhea in a child with tympanostomy tubes or tympanic membrane (TM) perforationStarts with an acute infection that becomes chronic with mucosal edema, ulceration, granulation tissue, and eventual polyp formationRisk factors include a history of multiple episodes of otitis media, living in crowded conditions, day care attendance and being a member of a large familyMost common associated bacteria include Pseudomonas aeruginosa, Staphylococcus aureus, Proteus species, Klebsiella pneumoniae, and diphtheroids