Importance of viruses in acute otitis media
Acute otitis media occurs as a complication of viral upper respiratory tract infection. Bacterial otopathogens and respiratory viruses interact and play important roles in acute otitis media development. A better understanding of viral and bacterial interactions may lead to innovative ways to lessen...
Uloženo v:
| Vydáno v: | Current opinion in pediatrics Ročník 27; číslo 1; s. 110 |
|---|---|
| Hlavní autoři: | , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
United States
01.02.2015
|
| Témata: | |
| ISSN: | 1531-698X, 1531-698X |
| On-line přístup: | Zjistit podrobnosti o přístupu |
| Tagy: |
Přidat tag
Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!
|
| Abstract | Acute otitis media occurs as a complication of viral upper respiratory tract infection. Bacterial otopathogens and respiratory viruses interact and play important roles in acute otitis media development. A better understanding of viral and bacterial interactions may lead to innovative ways to lessen the burden of this common childhood disease.
There has been increasing evidence that acute otitis media occurs during upper respiratory infection, even in the absence of nasopharyngeal bacterial colonization. Among the types of viruses associated with acute otitis media, respiratory syncytial virus continues to be the most commonly detected. It is still unclear whether viral load plays an important role in acute otitis media development, but symptomatic upper respiratory tract infection (as opposed to asymptomatic viral infection) is crucial. Widespread use of bacterial and viral vaccines in young children, including pneumococcal conjugate and influenza vaccines, has led to the reduction in otitis media-related healthcare use between 2001 and 2011. There has been no new vaccine against respiratory viruses other than influenza.
Progress has been made toward the reduction of the burden of acute otitis media in the last decade. Success in reducing acute otitis media incidence will rely mainly on prevention of nasopharyngeal otopathogen colonization, as well as reduction in the incidence of viral upper respiratory tract infection. |
|---|---|
| AbstractList | Acute otitis media occurs as a complication of viral upper respiratory tract infection. Bacterial otopathogens and respiratory viruses interact and play important roles in acute otitis media development. A better understanding of viral and bacterial interactions may lead to innovative ways to lessen the burden of this common childhood disease.
There has been increasing evidence that acute otitis media occurs during upper respiratory infection, even in the absence of nasopharyngeal bacterial colonization. Among the types of viruses associated with acute otitis media, respiratory syncytial virus continues to be the most commonly detected. It is still unclear whether viral load plays an important role in acute otitis media development, but symptomatic upper respiratory tract infection (as opposed to asymptomatic viral infection) is crucial. Widespread use of bacterial and viral vaccines in young children, including pneumococcal conjugate and influenza vaccines, has led to the reduction in otitis media-related healthcare use between 2001 and 2011. There has been no new vaccine against respiratory viruses other than influenza.
Progress has been made toward the reduction of the burden of acute otitis media in the last decade. Success in reducing acute otitis media incidence will rely mainly on prevention of nasopharyngeal otopathogen colonization, as well as reduction in the incidence of viral upper respiratory tract infection. Acute otitis media occurs as a complication of viral upper respiratory tract infection. Bacterial otopathogens and respiratory viruses interact and play important roles in acute otitis media development. A better understanding of viral and bacterial interactions may lead to innovative ways to lessen the burden of this common childhood disease.PURPOSE OF REVIEWAcute otitis media occurs as a complication of viral upper respiratory tract infection. Bacterial otopathogens and respiratory viruses interact and play important roles in acute otitis media development. A better understanding of viral and bacterial interactions may lead to innovative ways to lessen the burden of this common childhood disease.There has been increasing evidence that acute otitis media occurs during upper respiratory infection, even in the absence of nasopharyngeal bacterial colonization. Among the types of viruses associated with acute otitis media, respiratory syncytial virus continues to be the most commonly detected. It is still unclear whether viral load plays an important role in acute otitis media development, but symptomatic upper respiratory tract infection (as opposed to asymptomatic viral infection) is crucial. Widespread use of bacterial and viral vaccines in young children, including pneumococcal conjugate and influenza vaccines, has led to the reduction in otitis media-related healthcare use between 2001 and 2011. There has been no new vaccine against respiratory viruses other than influenza.RECENT FINDINGSThere has been increasing evidence that acute otitis media occurs during upper respiratory infection, even in the absence of nasopharyngeal bacterial colonization. Among the types of viruses associated with acute otitis media, respiratory syncytial virus continues to be the most commonly detected. It is still unclear whether viral load plays an important role in acute otitis media development, but symptomatic upper respiratory tract infection (as opposed to asymptomatic viral infection) is crucial. Widespread use of bacterial and viral vaccines in young children, including pneumococcal conjugate and influenza vaccines, has led to the reduction in otitis media-related healthcare use between 2001 and 2011. There has been no new vaccine against respiratory viruses other than influenza.Progress has been made toward the reduction of the burden of acute otitis media in the last decade. Success in reducing acute otitis media incidence will rely mainly on prevention of nasopharyngeal otopathogen colonization, as well as reduction in the incidence of viral upper respiratory tract infection.SUMMARYProgress has been made toward the reduction of the burden of acute otitis media in the last decade. Success in reducing acute otitis media incidence will rely mainly on prevention of nasopharyngeal otopathogen colonization, as well as reduction in the incidence of viral upper respiratory tract infection. |
| Author | Nokso-Koivisto, Johanna Marom, Tal Chonmaitree, Tasnee |
| Author_xml | – sequence: 1 givenname: Johanna surname: Nokso-Koivisto fullname: Nokso-Koivisto, Johanna organization: aDepartment of Otorhinolaryngology, Helsinki University Central Hospital, Helsinki, Finland bDepartment of Otolaryngology-Head and Neck Surgery, Edith Wolfson Medical Center, Tel Aviv University Sackler School of Medicine, Holon, Israel cDivision of Infectious Diseases, Department of Pediatrics, University of Texas Medical Branch, Galveston, Texas, USA – sequence: 2 givenname: Tal surname: Marom fullname: Marom, Tal – sequence: 3 givenname: Tasnee surname: Chonmaitree fullname: Chonmaitree, Tasnee |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25514574$$D View this record in MEDLINE/PubMed |
| BookMark | eNpNj0tLAzEUhYNU7EP_gcgsBZk6N-8spVQtVOpCwd2QZBKIzMtJRvDfO2CFns25HD4O9yzRrO1ah9A1FGsolLh_Obyui1OBpGdoAYxAzpX8mJ3cc7SM8XNiCDB1geaYMaBM0AW62zV9NyTdWpd1PvsOwxhdzEKbaTumKUshhZg1rgr6Ep17XUd3dfQVen_cvm2e8_3habd52OeWCplyqgTmxlDjseNWGuwr5ZkBq6g0lngPlsiCaCKFFBWXQIhx0mLPlKoqjPEK3f719kP3NbqYyiZE6-pat64bYwmcElpwIdSE3hzR0Uw_lv0QGj38lP8D8S9-4lQM |
| CitedBy_id | crossref_primary_10_1080_14712598_2020_1753696 crossref_primary_10_1097_MAO_0000000000004158 crossref_primary_10_1128_AAC_01992_16 crossref_primary_10_1097_INF_0000000000002430 crossref_primary_10_3390_v14112457 crossref_primary_10_1097_INF_0000000000003767 crossref_primary_10_1097_MAO_0000000000003581 crossref_primary_10_1007_s11908_020_0711_8 crossref_primary_10_1128_mSphere_00384_20 crossref_primary_10_1177_0194599820984788 crossref_primary_10_1586_14787210_2016_1150781 crossref_primary_10_3389_fmicb_2019_03006 crossref_primary_10_3389_fcimb_2022_746428 crossref_primary_10_1007_s40136_017_0151_7 crossref_primary_10_1007_s00112_016_0082_2 crossref_primary_10_1038_nrdp_2016_63 crossref_primary_10_1016_j_jaip_2025_01_041 crossref_primary_10_3389_fcimb_2021_764772 crossref_primary_10_1177_21501319221082351 crossref_primary_10_1155_2021_5515467 crossref_primary_10_1177_1753425917737825 crossref_primary_10_1155_2022_7207846 crossref_primary_10_1097_PEC_0000000000000964 crossref_primary_10_3389_fimmu_2020_01168 crossref_primary_10_1016_j_jinf_2017_04_003 crossref_primary_10_1109_JPHOT_2020_3012497 crossref_primary_10_1093_cid_ciy750 crossref_primary_10_1016_j_anl_2019_09_008 crossref_primary_10_1186_s12879_019_3920_8 crossref_primary_10_1371_journal_pone_0170316 crossref_primary_10_1371_journal_pone_0180630 crossref_primary_10_1097_INF_0000000000002009 crossref_primary_10_1080_22423982_2020_1799688 crossref_primary_10_1111_jpc_14414 crossref_primary_10_3389_fped_2021_643219 crossref_primary_10_3390_children11070832 crossref_primary_10_1128_IAI_00248_20 crossref_primary_10_1186_s13020_020_00413_y crossref_primary_10_3389_fmed_2021_675225 crossref_primary_10_4274_gulhane_galenos_2022_20438 crossref_primary_10_1038_s41598_025_87372_2 crossref_primary_10_3390_children9030436 crossref_primary_10_1016_j_jim_2023_113516 crossref_primary_10_1177_2049936119871127 crossref_primary_10_2478_amma_2022_0017 crossref_primary_10_1016_S1473_3099_24_00430_4 crossref_primary_10_1186_s12875_025_02821_1 crossref_primary_10_1002_lary_31125 crossref_primary_10_1002_jmv_27151 crossref_primary_10_1016_j_imr_2020_100457 crossref_primary_10_1007_s10096_025_05264_9 crossref_primary_10_1016_j_diagmicrobio_2016_02_010 crossref_primary_10_2500_ajra_2016_30_4393 crossref_primary_10_1016_j_cmi_2017_01_011 crossref_primary_10_1016_j_ijpp_2017_03_002 crossref_primary_10_1016_j_ijporl_2023_111814 crossref_primary_10_1097_INF_0000000000003116 crossref_primary_10_3389_fcimb_2022_775535 crossref_primary_10_1038_s41598_021_91736_9 crossref_primary_10_1093_jpids_piaa094 crossref_primary_10_1097_INF_0000000000004360 crossref_primary_10_1080_14787210_2023_2206565 crossref_primary_10_1371_journal_pone_0227080 crossref_primary_10_1093_infdis_jiaa087 crossref_primary_10_1111_cch_12524 crossref_primary_10_3389_fgene_2020_00313 crossref_primary_10_1097_CM9_0000000000003354 crossref_primary_10_1002_JLB_4RU0119_003R crossref_primary_10_1016_j_ijporl_2019_109833 crossref_primary_10_1038_s41598_021_99247_3 crossref_primary_10_1186_s12982_025_00535_4 crossref_primary_10_1136_bmjopen_2019_035343 crossref_primary_10_1080_00325481_2015_1028872 crossref_primary_10_1016_j_heliyon_2023_e14422 |
| ContentType | Journal Article |
| DBID | CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.1097/MOP.0000000000000184 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | no_fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1531-698X |
| ExternalDocumentID | 25514574 |
| Genre | Journal Article Review Research Support, N.I.H., Extramural |
| GrantInformation_xml | – fundername: NIDCD NIH HHS grantid: R01 DC005841 – fundername: NCATS NIH HHS grantid: UL1 TR000071 – fundername: NCATS NIH HHS grantid: UL1 TR00071 – fundername: NIDCD NIH HHS grantid: R01 DC 005841 |
| GroupedDBID | --- .-D .3C .GJ .XZ .Z2 01Q 0R~ 4Q1 4Q2 4Q3 53G 5GY 5RE 5VS 6PF 71W 8L- AAAAV AAHPQ AAIQE AAJCS AAMTA AARTV AASCR AAWTL AAYEP ABASU ABBUW ABDIG ABJNI ABOCM ABPPZ ABPXF ABVCZ ABXVJ ABXYN ABZAD ABZZY ACDDN ACEWG ACGFO ACGFS ACILI ACWDW ACWRI ACXJB ACXNZ ADFPA ADGGA ADHPY ADNKB AE3 AE6 AEBDS AEETU AENEX AFBFQ AFDTB AFEXH AFMFG AFNMH AHQNM AHQVU AHVBC AINUH AJCLO AJIOK AJNWD AJNYG AJZMW ALMA_UNASSIGNED_HOLDINGS ALMTX AMJPA AMKUR AMNEI AOHHW AOQMC BQLVK BS7 C45 CAG CGR COF CS3 CUY CVF DIWNM DU5 DUNZO E.X EBS ECM EEVPB EIF EJD EX3 F5P FCALG FL- GNXGY GQDEL H0~ HLJTE HZ~ IKREB IN~ IPNFZ JF7 JF9 JG8 JK3 JK8 K8S KD2 L-C LEELO N9A NPM N~M O9- OAG OAH OCUKA ODA ODMTH OHYEH OLC OLG OPUJH ORVUJ OUVQU OVD OVDKG OVDNE OVKID OWU OWV OWW OWX OWY OWZ OXXIT P-K P2P R58 RIG RLZ S4R S4S T8P TEORI TSPGW V2I VVN W3M WOQ WOW X3V X3W XO3 XXN XYM YFH YOC ZFV ZGI ZZMQN 7X8 ADKSD |
| ID | FETCH-LOGICAL-c478t-49726bb4bf2e6c8b2fd9f5b1c948bc3ff1c3803a38787d68133be8c2f599dd222 |
| IEDL.DBID | 7X8 |
| ISICitedReferencesCount | 78 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000347775600016&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 1531-698X |
| IngestDate | Thu Oct 02 10:45:15 EDT 2025 Mon Jul 21 05:59:50 EDT 2025 |
| IsDoiOpenAccess | false |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 1 |
| Language | English |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c478t-49726bb4bf2e6c8b2fd9f5b1c948bc3ff1c3803a38787d68133be8c2f599dd222 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23 |
| OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/4383320 |
| PMID | 25514574 |
| PQID | 1643406779 |
| PQPubID | 23479 |
| ParticipantIDs | proquest_miscellaneous_1643406779 pubmed_primary_25514574 |
| PublicationCentury | 2000 |
| PublicationDate | 2015-02-01 |
| PublicationDateYYYYMMDD | 2015-02-01 |
| PublicationDate_xml | – month: 02 year: 2015 text: 2015-02-01 day: 01 |
| PublicationDecade | 2010 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | Current opinion in pediatrics |
| PublicationTitleAlternate | Curr Opin Pediatr |
| PublicationYear | 2015 |
| References | 24718616 - PLoS One. 2014;9(4):e93930 22411051 - Pediatr Infect Dis J. 2012 Jul;31(7):763-6 21226577 - N Engl J Med. 2011 Jan 13;364(2):116-26 25205769 - Clin Infect Dis. 2015 Jan 1;60(1):1-9 14695665 - J Med Virol. 2004 Feb;72(2):241-8 24276262 - JAMA Pediatr. 2014 Jan;168(1):68-75 24717966 - Pediatr Infect Dis J. 2014 Aug;33(8):803-8 20935591 - Pediatr Infect Dis J. 2011 Mar;30(3):203-7 23829670 - Influenza Other Respir Viruses. 2013 Nov;7(6):1103-12 21226576 - N Engl J Med. 2011 Jan 13;364(2):105-15 21649905 - BMC Infect Dis. 2011;11:161 19522649 - Clin Infect Dis. 2009 Jul 15;49(2):257-61 20711085 - Pediatr Infect Dis J. 2011 Feb;30(2):95-9 17545367 - Pediatrics. 2007 Jun;119(6):e1408-12 21915878 - J Med Virol. 2011 Nov;83(11):2008-17 23271441 - Pediatr Infect Dis J. 2013 Jun;32(6):669-74 18560870 - Eur Arch Otorhinolaryngol. 2009 Feb;266(2):199-205 23439909 - Pediatrics. 2013 Mar;131(3):e964-99 25074284 - J Med Virol. 2015 Feb;87(2):275-80 22968233 - Curr Allergy Asthma Rep. 2012 Dec;12(6):551-8 23249910 - Pediatr Infect Dis J. 2013 Apr;32(4):314-9 17142509 - Pediatrics. 2006 Dec;118(6):2273-9 17083014 - Clin Infect Dis. 2006 Dec 1;43(11):1417-22 21900518 - J Clin Microbiol. 2011 Nov;49(11):3750-5 22305021 - Emerg Infect Dis. 2012 Feb;18(2):264-71 20363510 - Int J Pediatr Otorhinolaryngol. 2010 Jun;74(6):684-8 22596088 - Pediatr Infect Dis J. 2012 Nov;31(11):1107-12 24785236 - Clin Infect Dis. 2014 Aug 1;59(3):376-83 24827411 - MMWR Morb Mortal Wkly Rep. 2014 May 16;63(19):431-6 20815736 - Clin Infect Dis. 2010 Oct 15;51(8):887-94 19690308 - JAMA. 2009 Aug 19;302(7):758-66 23266462 - J Infect. 2013 Mar;66(3):247-54 26625362 - J Pediatric Infect Dis Soc. 2014 Jun;3(2):98-103 18279042 - Clin Infect Dis. 2008 Mar 15;46(6):815-23 9920949 - N Engl J Med. 1999 Jan 28;340(4):260-4 17908769 - Pediatrics. 2007 Oct;120(4):814-23 |
| References_xml | – reference: 25074284 - J Med Virol. 2015 Feb;87(2):275-80 – reference: 23829670 - Influenza Other Respir Viruses. 2013 Nov;7(6):1103-12 – reference: 17083014 - Clin Infect Dis. 2006 Dec 1;43(11):1417-22 – reference: 9920949 - N Engl J Med. 1999 Jan 28;340(4):260-4 – reference: 23439909 - Pediatrics. 2013 Mar;131(3):e964-99 – reference: 17142509 - Pediatrics. 2006 Dec;118(6):2273-9 – reference: 22596088 - Pediatr Infect Dis J. 2012 Nov;31(11):1107-12 – reference: 23271441 - Pediatr Infect Dis J. 2013 Jun;32(6):669-74 – reference: 19522649 - Clin Infect Dis. 2009 Jul 15;49(2):257-61 – reference: 24717966 - Pediatr Infect Dis J. 2014 Aug;33(8):803-8 – reference: 17545367 - Pediatrics. 2007 Jun;119(6):e1408-12 – reference: 23249910 - Pediatr Infect Dis J. 2013 Apr;32(4):314-9 – reference: 21226576 - N Engl J Med. 2011 Jan 13;364(2):105-15 – reference: 22305021 - Emerg Infect Dis. 2012 Feb;18(2):264-71 – reference: 23266462 - J Infect. 2013 Mar;66(3):247-54 – reference: 20363510 - Int J Pediatr Otorhinolaryngol. 2010 Jun;74(6):684-8 – reference: 17908769 - Pediatrics. 2007 Oct;120(4):814-23 – reference: 21226577 - N Engl J Med. 2011 Jan 13;364(2):116-26 – reference: 21900518 - J Clin Microbiol. 2011 Nov;49(11):3750-5 – reference: 20815736 - Clin Infect Dis. 2010 Oct 15;51(8):887-94 – reference: 26625362 - J Pediatric Infect Dis Soc. 2014 Jun;3(2):98-103 – reference: 21915878 - J Med Virol. 2011 Nov;83(11):2008-17 – reference: 24785236 - Clin Infect Dis. 2014 Aug 1;59(3):376-83 – reference: 24276262 - JAMA Pediatr. 2014 Jan;168(1):68-75 – reference: 20935591 - Pediatr Infect Dis J. 2011 Mar;30(3):203-7 – reference: 22411051 - Pediatr Infect Dis J. 2012 Jul;31(7):763-6 – reference: 19690308 - JAMA. 2009 Aug 19;302(7):758-66 – reference: 25205769 - Clin Infect Dis. 2015 Jan 1;60(1):1-9 – reference: 22968233 - Curr Allergy Asthma Rep. 2012 Dec;12(6):551-8 – reference: 21649905 - BMC Infect Dis. 2011;11:161 – reference: 14695665 - J Med Virol. 2004 Feb;72(2):241-8 – reference: 18560870 - Eur Arch Otorhinolaryngol. 2009 Feb;266(2):199-205 – reference: 24718616 - PLoS One. 2014;9(4):e93930 – reference: 24827411 - MMWR Morb Mortal Wkly Rep. 2014 May 16;63(19):431-6 – reference: 18279042 - Clin Infect Dis. 2008 Mar 15;46(6):815-23 – reference: 20711085 - Pediatr Infect Dis J. 2011 Feb;30(2):95-9 |
| SSID | ssj0003159 |
| Score | 2.4190395 |
| SecondaryResourceType | review_article |
| Snippet | Acute otitis media occurs as a complication of viral upper respiratory tract infection. Bacterial otopathogens and respiratory viruses interact and play... |
| SourceID | proquest pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | 110 |
| SubjectTerms | Child Child, Preschool Humans Nasal Lavage Fluid - microbiology Nasal Lavage Fluid - virology Nasopharyngeal Diseases - microbiology Nasopharyngeal Diseases - physiopathology Otitis Media - microbiology Otitis Media - physiopathology Otitis Media - virology Prevalence Respiratory Tract Infections - microbiology Respiratory Tract Infections - physiopathology Virus Diseases - microbiology Virus Diseases - physiopathology Virus Diseases - virology |
| Title | Importance of viruses in acute otitis media |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/25514574 https://www.proquest.com/docview/1643406779 |
| Volume | 27 |
| WOSCitedRecordID | wos000347775600016&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV07a8MwED7appQufT_SFy50FYkl25KmUkpDhybN0II3Y70gi53ESX5_T36QqVCoBg8Cgfl0p_ukk74DeKLM8dhZSrSlnGDEd0RRlxMbMYxvjiNrrtX1P_hkItJUTtsDt6q9VtmtifVCbUrtz8gHSOtZ5OXO5PN8QXzVKJ9dbUto7EKPIZXxVs3TrVo4C-tiaejUIUmkSLunc5IPxp_TRrqwa6HXN_2NZNbBZnT83988gaOWZgYvjV2cwo4tzuBg3CbSz8GrAnvijVMelC7YzJbrylbBrAhyvV5hn9cwqoL6XckFfI_evl7fSVs3geiIi5UvGkcTpSLlqE20QOyNdLEKtYyE0sy5UDMxZDkT6K0mEbhNVVZo6mIpjUHCcAl7RVnYawhwf-MlwFQ8NGGkmFQmp15w3-AI5HrDPjx2MGRolz7ZkBe2XFfZFog-XDVYZvNGQCOjnqbFPLr5w-hbOESOEjcXpe-g59Ar7T3s6w3CsHyoJxy_k-n4Bxwsskw |
| linkProvider | ProQuest |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Importance+of+viruses+in+acute+otitis+media&rft.jtitle=Current+opinion+in+pediatrics&rft.au=Nokso-Koivisto%2C+Johanna&rft.au=Marom%2C+Tal&rft.au=Chonmaitree%2C+Tasnee&rft.date=2015-02-01&rft.issn=1531-698X&rft.eissn=1531-698X&rft.volume=27&rft.issue=1&rft.spage=110&rft_id=info:doi/10.1097%2FMOP.0000000000000184&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1531-698X&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1531-698X&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1531-698X&client=summon |