The pathogens that cause acute otitis media (AOM) and acute bacterial sinusitis are well known to primary care practitioners.[1,2] The source of microbiologic data are cultures of middle ear fluid that are obtained by the performance of tympanocentesis, a procedure that can be safely undertaken in the office setting after specific training of clinicians, and with appropriate measures to manage pain for the child.[3,4] Unfortunately, in contrast to AOM, there has been very little study of the microbiology of acute bacterial sinusitis as this requires a more invasive procedure usually performed by pediatric otolaryngologists under local or general anesthesia. Two publications in the early 1980s described the microbiology of acute bacterial sinusitis in children in the United States, based on the results of maxillary sinus aspiration.[5,6] Subsequently, discussions of the microbiology and recommendations for antibiotic management of acute bacterial sinusitis have leaned heavily on recommendations and data developed for AOM.
Pediatr Infect Dis J. 2013;32(5):641-643. © 2013 Lippincott Williams & Wilkins