Page 22 - Revista Portuguesa - SPORL - Vol 44. Nº2

OTITE MÉDIA AGUDA RECORRENTE E M IDADE PEDIÁTRICA

COMENTÁRIOS FINAIS défices imunes permite uma abordagem ade-
quada e atempada, evitando infecções repeti-
As OMA r constituem uma patologia extre- das e eventualmente graves.
mamente frequente na idade pediátrico, resul- O aumento das resistências bacterianas obri-
tando de uma etiologia multifactorial . ga, cada vez mais, a uma utilização racional
Acarretam múltiplas consequências para as dos múltiplos meios terapêuticos disponíveis.
crianças afectadas, incluindo perturbações da Se, por um lado, as diversas vertentes da abor-
aprendizagem, má evolução estatura-ponderai, dagem da problemática das OMAr envolvem
complicações temporais ou intra-cranianas e/ ou controvérsias e debates, é de sublinhar que a
sequelas otológicas. A importância da avalia- conjugação de diversos pontos de vista é enri-
ção do estado imune das crianças com infec- quecedora e nesta área, como em muitas outras
ções recorrentes das vias aéreas superiores é da Medicina, a multidisciplinaridade é funda-
de realçar, na medida em que a detecção de mental.

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