{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T19:27:20Z","timestamp":1779910040239,"version":"3.53.1"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2020,7,27]],"date-time":"2020-07-27T00:00:00Z","timestamp":1595808000000},"content-version":"unspecified","delay-in-days":26,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215120001164_sec_a1\"><jats:title>Background<\/jats:title><jats:p>Fungal otitis externa is prevalent in tropical and sub-tropical climates; however, over the past two decades, there has been a reported increase in the prevalence of otomycosis in paediatric patients from more temperate climates. This study aimed to review the children diagnosed with otomycosis at the University Hospital Limerick with reference to frequency, causative organism, predisposing factors and management.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120001164_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>A retrospective review was conducted of paediatric patients from 2001 to 2015. Patients with positive fungal ear swabs and a diagnosis of otomycosis were identified.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120001164_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Ninety-three patients were positive for candida (mean age, 5.8 years), 10 patients were positive for aspergillus (mean age, 9.1 years) and 1 patient had mixed fungal infection containing both fungi. There was a positive correlation between a diagnosis of otomycosis and prior treatment with topical fluoroquinolones (r = 0.8;<jats:italic>p<\/jats:italic>&lt; 0.01).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120001164_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>The incidence of otomycosis has been increasing since 2001, which correlates with an increase in the use of topical fluoroquinolones. Previous studies identify aspergillus as the commonest causative fungi; however, this study found that candida was the commonest isolated fungi in the paediatric population.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215120001164","type":"journal-article","created":{"date-parts":[[2020,7,27]],"date-time":"2020-07-27T06:53:28Z","timestamp":1595832808000},"page":"592-596","source":"Crossref","is-referenced-by-count":9,"title":["The changing nature of paediatric otomycosis in the mid-west of Ireland"],"prefix":"10.1017","volume":"134","author":[{"given":"D","family":"Westby","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N","family":"O'Connell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Powell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J E","family":"Fenton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2020,7,27]]},"reference":[{"key":"S0022215120001164_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2005.04.012"},{"key":"S0022215120001164_ref8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1439-0507.2011.02132.x"},{"key":"S0022215120001164_ref11","first-page":"29","article-title":"Mycological and clinical study of otomycosis in Tehran, Iran","volume":"3","author":"Nowrozi","year":"2018","journal-title":"Bull Env Pharmacol Life Sci"},{"key":"S0022215120001164_ref20","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.otohns.2006.02.019","article-title":"Post-tympanostomy tube otorrhea: a meta-analysis","volume":"135","author":"Hochman","year":"2006","journal-title":"Otolaryngol Head Neck Surg"},{"key":"S0022215120001164_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.07.015"},{"key":"S0022215120001164_ref9","doi-asserted-by":"publisher","DOI":"10.5812\/jjm.21776"},{"key":"S0022215120001164_ref19","doi-asserted-by":"publisher","DOI":"10.1177\/000348949410300110"},{"key":"S0022215120001164_ref14","first-page":"217","article-title":"Prospective double-blind randomized study of the efficacy and tolerance of topical ciprofloxacin vs topical gentamicin in the treatment of simple chronic otitis media and diffuse external otitis [in Spanish]","volume":"47","author":"Sabater","year":"1996","journal-title":"Acta Otorrinolaringol Esp"},{"key":"S0022215120001164_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2005.01.022"},{"key":"S0022215120001164_ref17","doi-asserted-by":"publisher","DOI":"10.4084\/mjhid.2011.003"},{"key":"S0022215120001164_ref7","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g5259"},{"key":"S0022215120001164_ref5","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1111\/j.1439-0507.2007.01441.x","article-title":"Otomycosis in Western Nigeria","volume":"51","author":"Fasunla","year":"2008","journal-title":"Mycoses"},{"key":"S0022215120001164_ref2","first-page":"564","article-title":"Otomycosis; clinical features, predisposing factors and treatment implications","volume":"30","author":"Gohar","year":"2014","journal-title":"Pak J Med Sci"},{"key":"S0022215120001164_ref6","doi-asserted-by":"crossref","first-page":"4850","DOI":"10.14260\/jemds\/2014\/2523","article-title":"Otomycosis \u2013 mycological spectrum aetio-pathological factors and management","volume":"3","author":"Jyothi","year":"2014","journal-title":"J Evol Med Dent Sci"},{"key":"S0022215120001164_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(94)90193-7"},{"key":"S0022215120001164_ref23","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(01)00552-3"},{"key":"S0022215120001164_ref18","first-page":"246","article-title":"The discharging ear: a practical approach","volume":"22","author":"Seedat","year":"2004","journal-title":"CME"},{"key":"S0022215120001164_ref3","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813517083"},{"key":"S0022215120001164_ref22","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.125.5.537"},{"key":"S0022215120001164_ref16","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1177\/014556130308208s08","article-title":"Strategies for managing granulation tissue","volume":"82","author":"Coates","year":"2003","journal-title":"Ear Nose Throat J"},{"key":"S0022215120001164_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2007.12.005"},{"key":"S0022215120001164_ref4","first-page":"181","article-title":"Presumed diagnosis: otomycosis. A study of 451 patients [in Spanish]","volume":"56","author":"Guti\u00e9rrez","year":"2005","journal-title":"Acta Otorrinolaringol Esp"},{"key":"S0022215120001164_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2009.12.003"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215120001164","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,10]],"date-time":"2024-08-10T20:48:01Z","timestamp":1723322881000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215120001164\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7]]},"references-count":23,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["S0022215120001164"],"URL":"https:\/\/doi.org\/10.1017\/s0022215120001164","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7]]}}}