The importance of interleukin (IL)-8 in the chemotactic activity of mi
ddle ear effusions (MEEs) was evaluated. There was a significantly hig
her IL-8 concentration in MEEs of children with acute otitis media (AO
M) (n = 17; 136 ng/mL) than in children with otitis media with effusio
n (OME) (n = 28; 65 ng/mL), The IL-8 concentration in MEEs with bacter
ia (149 ng/mL) was significantly higher than in MEEs without bacteria
(66 ng/mL), MEEs from children with AOM and OME had equally higher che
motactic activity than the diluent alone (23.3% and 24.8% vs, 9.2%). T
he chemotactic activity was not altered by the presence of bacteria no
r did it correlate with IL-8 concentration Fractionation of MEEs by ge
l chromatography demonstrated that the main chemotactic activity could
clearly be separated from the IL-8 activity, thus excluding IL-8 as a
main chemotactic component in MEEs.