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Casey JR et al. – Six to 8 years after widespread use of PCV7, Spn strains expressing vaccine–type serotypes have virtually disappeared from the NP and MEF of vaccinated children. NP colonization and AOM has changed to non–PCV7 strains of Spn. NTHi continues to be a major AOM pathogen. The otopathogens in first and second AOM and in otitis prone children are very similar although Spn and NTHi are more often antibiotic resistant in the otitis prone.


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