Most common bugs causing AOM are Streptococcus pneumoniae (49%), Haemophilus influenzae (29%), and Moraxella catarrhalis (28%), picornaviruses such as rhinovirus and enterovirus, respiratory syncytial virus, and parainfluenza virus. RIsk factors for AOM are:
- Males
- Day care attendees
- Exposed to tobacco smoke
- Craniofacial anomalies
- Prone position sleepers
- Pacifier users
- Born with immunodeficiency syndromes
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