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Otitis media.
Indian J Pediatr. 2001 Jul; 68 Suppl 3:S24-31.IJ

Abstract

There is a high rate of use of antimicrobial drugs for otitis media in children. This article reviews the diagnostic considerations for acute otitis media. An extensive review of literature on this subject has been carried out in order to address the issues of indications, choice, appropriate doses of antimicrobial agents and the duration for which they should be used. It is important to distinguish acute otitis media from otitis media with effusion because antibiotics are seldom indicated for the latter condition. Oral amoxicillin remains first-line therapy for uncomplicated acute otitis media, a short course of antimicrobial therapy (five to seven days) may be appropriate in children two years of age or older with uncomplicated presentations. For clinical treatment failures after 3 days of amoxicillin, recommended antimicrobial agents include oral amoxicillin/clavulanate, cefuroxime axetil, cefprozil, cefpodoxime proxetil, and intramuscular (i.m.) ceftriaxone. Tympanocentesis for identification of pathogens and susceptibility to antimicrobial agents is recommended for selection of third-line agents.

Authors+Show Affiliations

Gupta BD
Umaid Hospital, Regional Institute of Mother and Child Health and Dr. S.N. Medical College, Jodhpur. brahmadgupta@hotmail.com
Singh A
No affiliation info available

MeSH

AlgorithmsAnti-Bacterial AgentsChildDiagnosis, DifferentialDrug Resistance, MicrobialHumansOtitis MediaOtitis Media with EffusionOtitis Media, SuppurativePractice Guidelines as TopicRisk Factors

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

11980456

Citation

Gupta, B D., and A Singh. "Otitis Media." Indian Journal of Pediatrics, vol. 68 Suppl 3, 2001, pp. S24-31.
Gupta BD, Singh A. Otitis media. Indian J Pediatr. 2001;68 Suppl 3:S24-31.
Gupta, B. D., & Singh, A. (2001). Otitis media. Indian Journal of Pediatrics, 68 Suppl 3, S24-31.
Gupta BD, Singh A. Otitis Media. Indian J Pediatr. 2001;68 Suppl 3:S24-31. PubMed PMID: 11980456.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Otitis media. AU - Gupta,B D, AU - Singh,A, PY - 2002/5/1/pubmed PY - 2002/5/25/medline PY - 2002/5/1/entrez SP - S24 EP - 31 JF - Indian journal of pediatrics JO - Indian J Pediatr VL - 68 Suppl 3 N2 - There is a high rate of use of antimicrobial drugs for otitis media in children. This article reviews the diagnostic considerations for acute otitis media. An extensive review of literature on this subject has been carried out in order to address the issues of indications, choice, appropriate doses of antimicrobial agents and the duration for which they should be used. It is important to distinguish acute otitis media from otitis media with effusion because antibiotics are seldom indicated for the latter condition. Oral amoxicillin remains first-line therapy for uncomplicated acute otitis media, a short course of antimicrobial therapy (five to seven days) may be appropriate in children two years of age or older with uncomplicated presentations. For clinical treatment failures after 3 days of amoxicillin, recommended antimicrobial agents include oral amoxicillin/clavulanate, cefuroxime axetil, cefprozil, cefpodoxime proxetil, and intramuscular (i.m.) ceftriaxone. Tympanocentesis for identification of pathogens and susceptibility to antimicrobial agents is recommended for selection of third-line agents. SN - 0019-5456 UR - https://www.unboundmedicine.com/medline/citation/11980456/Otitis_media_ L2 - https://medlineplus.gov/earinfections.html DB - PRIME DP - Unbound Medicine ER -