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Acute otitis media: to follow-up or treat?
Int J Pediatr Otorhinolaryngol 2010; 74(8):930-3IJ

Abstract

Acute otitis media (AOM) is the most common diagnosis for which antibiotics are prescribed in children. However, due to their widespread use, we are witnesses to increased development of bacterial resistance to antibiotics. The purpose of this study was to evaluate the necessity of antibiotic treatment in patients with AOM. Our study included 314 children, aged between 2 months and 6 years. Children were divided into two groups: the first group included children with less severe forms of AOM, who received symptomatic therapy and "wait-and-see" approach (237 children); the second group presented with purulent ear infection and received antibiotic treatment from the beginning (77 children). After symptomatic therapy, resolution of the disease, without use of any antibiotics, was established in 61% of patients, compared to the overall sample of children with AOM. None of the children developed complications that would require surgical treatment. In the second group of children, receiving antibiotics, almost the same therapeutic effects (80%) were achieved with the use of amoxicillin, amoxicillin-clavulanate and cefixime, while the worst results were obtained after using azithromycin. The wait-and-see approach is recommended in forms of AOM without serious signs and symptoms, because it significantly reduces the use of antibiotics and their potential adverse effects.

Authors+Show Affiliations

Dr Stevanovic Pediatric Office, Zrenjanin, Serbia.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

20599127

Citation

Stevanovic, Tomislav, et al. "Acute Otitis Media: to Follow-up or Treat?" International Journal of Pediatric Otorhinolaryngology, vol. 74, no. 8, 2010, pp. 930-3.
Stevanovic T, Komazec Z, Lemajic-Komazec S, et al. Acute otitis media: to follow-up or treat? Int J Pediatr Otorhinolaryngol. 2010;74(8):930-3.
Stevanovic, T., Komazec, Z., Lemajic-Komazec, S., & Jovic, R. (2010). Acute otitis media: to follow-up or treat? International Journal of Pediatric Otorhinolaryngology, 74(8), pp. 930-3. doi:10.1016/j.ijporl.2010.05.017.
Stevanovic T, et al. Acute Otitis Media: to Follow-up or Treat. Int J Pediatr Otorhinolaryngol. 2010;74(8):930-3. PubMed PMID: 20599127.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute otitis media: to follow-up or treat? AU - Stevanovic,Tomislav, AU - Komazec,Zoran, AU - Lemajic-Komazec,Slobodanka, AU - Jovic,Rajko, Y1 - 2010/06/17/ PY - 2010/01/27/received PY - 2010/05/08/revised PY - 2010/05/10/accepted PY - 2010/7/6/entrez PY - 2010/7/6/pubmed PY - 2010/12/29/medline SP - 930 EP - 3 JF - International journal of pediatric otorhinolaryngology JO - Int. J. Pediatr. Otorhinolaryngol. VL - 74 IS - 8 N2 - Acute otitis media (AOM) is the most common diagnosis for which antibiotics are prescribed in children. However, due to their widespread use, we are witnesses to increased development of bacterial resistance to antibiotics. The purpose of this study was to evaluate the necessity of antibiotic treatment in patients with AOM. Our study included 314 children, aged between 2 months and 6 years. Children were divided into two groups: the first group included children with less severe forms of AOM, who received symptomatic therapy and "wait-and-see" approach (237 children); the second group presented with purulent ear infection and received antibiotic treatment from the beginning (77 children). After symptomatic therapy, resolution of the disease, without use of any antibiotics, was established in 61% of patients, compared to the overall sample of children with AOM. None of the children developed complications that would require surgical treatment. In the second group of children, receiving antibiotics, almost the same therapeutic effects (80%) were achieved with the use of amoxicillin, amoxicillin-clavulanate and cefixime, while the worst results were obtained after using azithromycin. The wait-and-see approach is recommended in forms of AOM without serious signs and symptoms, because it significantly reduces the use of antibiotics and their potential adverse effects. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/20599127/Acute_otitis_media:_to_follow_up_or_treat L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(10)00227-2 DB - PRIME DP - Unbound Medicine ER -