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Pediatric acute otitis media: the case for delayed antibiotic treatment.

Abstract

Acute otitis media (AOM) is both a commonly diagnosed condition and a frequent indication for antibiotic use in children. Recent literature suggests that antibiotics are not needed in many children with AOM, as most cases resolve spontaneously without complication. However, a majority of AOM infections in children are still treated with antibiotics. The American Academy of Pediatrics and American Academy of Family Physicians released a guideline for treatment of AOM in children. We review the guideline as well as scientific evidence related to AOM treatment options. We support a set of evidence-based guidelines employing a delayed prescription option for antibiotic therapy in selected children. If used appropriately, these cost-effective guidelines will reduce the amount of antibiotics prescribed, increase parental satisfaction, and may lower rates of antibiotic resistance while producing similar rates of resolution of AOM.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Emergency Medicine Department, Regions Hospital, St. Paul, Minnesota 55101, USA.

    Source

    The Journal of emergency medicine 32:3 2007 Apr pg 279-84

    MeSH

    Acute Disease
    Anti-Bacterial Agents
    Child
    Child, Preschool
    Cost-Benefit Analysis
    Drug Resistance, Bacterial
    Drug Utilization
    Humans
    Infant
    Infant, Newborn
    Otitis Media
    Pediatrics
    Practice Guidelines as Topic
    Time Factors
    Treatment Outcome

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    17394992

    Citation

    Johnson, Nicholas C., and Joel S. Holger. "Pediatric Acute Otitis Media: the Case for Delayed Antibiotic Treatment." The Journal of Emergency Medicine, vol. 32, no. 3, 2007, pp. 279-84.
    Johnson NC, Holger JS. Pediatric acute otitis media: the case for delayed antibiotic treatment. J Emerg Med. 2007;32(3):279-84.
    Johnson, N. C., & Holger, J. S. (2007). Pediatric acute otitis media: the case for delayed antibiotic treatment. The Journal of Emergency Medicine, 32(3), pp. 279-84.
    Johnson NC, Holger JS. Pediatric Acute Otitis Media: the Case for Delayed Antibiotic Treatment. J Emerg Med. 2007;32(3):279-84. PubMed PMID: 17394992.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Pediatric acute otitis media: the case for delayed antibiotic treatment. AU - Johnson,Nicholas C, AU - Holger,Joel S, Y1 - 2007/02/23/ PY - 2005/04/04/received PY - 2005/11/18/revised PY - 2006/07/05/accepted PY - 2007/3/31/pubmed PY - 2007/10/12/medline PY - 2007/3/31/entrez SP - 279 EP - 84 JF - The Journal of emergency medicine JO - J Emerg Med VL - 32 IS - 3 N2 - Acute otitis media (AOM) is both a commonly diagnosed condition and a frequent indication for antibiotic use in children. Recent literature suggests that antibiotics are not needed in many children with AOM, as most cases resolve spontaneously without complication. However, a majority of AOM infections in children are still treated with antibiotics. The American Academy of Pediatrics and American Academy of Family Physicians released a guideline for treatment of AOM in children. We review the guideline as well as scientific evidence related to AOM treatment options. We support a set of evidence-based guidelines employing a delayed prescription option for antibiotic therapy in selected children. If used appropriately, these cost-effective guidelines will reduce the amount of antibiotics prescribed, increase parental satisfaction, and may lower rates of antibiotic resistance while producing similar rates of resolution of AOM. SN - 0736-4679 UR - https://www.unboundmedicine.com/medline/citation/17394992/Pediatric_acute_otitis_media:_the_case_for_delayed_antibiotic_treatment_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0736-4679(07)00067-4 DB - PRIME DP - Unbound Medicine ER -