Tags

Type your tag names separated by a space and hit enter

Diagnosis and treatment of acute otitis media: review.
J Laryngol Otol 2012; 126(10):976-83JL

Abstract

BACKGROUND

Acute otitis media is very common, but diagnostic criteria and treatment recommendations vary considerably.

METHODS

Medline, the Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials were searched using the key words 'acute otitis media' AND 'diagnosis' OR 'diagnostic criteria' OR 'definition', and by combining the terms 'acute otitis media' AND 'guidelines'. PubMed was searched using the key words 'mastoiditis' and 'prevalence'.

RESULTS

The 11 most recently published guidelines unanimously agreed that adequate analgesia should be prescribed in all cases. The majority recommended that routine antibiotic prescription should be avoided in mild to moderate cases and when there was diagnostic uncertainty in patients two years and older. Antibiotics were recommended in children two years and younger, most commonly a 5-day course of amoxicillin (or a macrolide in patients allergic to penicillin).

CONCLUSION

Level 1A evidence shows that selected cases of acute otitis media benefit from antibiotic prescription.

Authors+Show Affiliations

University College London Ear Institute, Southmead Hospital, Bristol, UK.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

22809689

Citation

Toll, Edward C., and Desmond A. Nunez. "Diagnosis and Treatment of Acute Otitis Media: Review." The Journal of Laryngology and Otology, vol. 126, no. 10, 2012, pp. 976-83.
Toll EC, Nunez DA. Diagnosis and treatment of acute otitis media: review. J Laryngol Otol. 2012;126(10):976-83.
Toll, E. C., & Nunez, D. A. (2012). Diagnosis and treatment of acute otitis media: review. The Journal of Laryngology and Otology, 126(10), pp. 976-83.
Toll EC, Nunez DA. Diagnosis and Treatment of Acute Otitis Media: Review. J Laryngol Otol. 2012;126(10):976-83. PubMed PMID: 22809689.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnosis and treatment of acute otitis media: review. AU - Toll,Edward C, AU - Nunez,Desmond A, Y1 - 2012/07/19/ PY - 2012/7/20/entrez PY - 2012/7/20/pubmed PY - 2013/5/4/medline SP - 976 EP - 83 JF - The Journal of laryngology and otology JO - J Laryngol Otol VL - 126 IS - 10 N2 - BACKGROUND: Acute otitis media is very common, but diagnostic criteria and treatment recommendations vary considerably. METHODS: Medline, the Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials were searched using the key words 'acute otitis media' AND 'diagnosis' OR 'diagnostic criteria' OR 'definition', and by combining the terms 'acute otitis media' AND 'guidelines'. PubMed was searched using the key words 'mastoiditis' and 'prevalence'. RESULTS: The 11 most recently published guidelines unanimously agreed that adequate analgesia should be prescribed in all cases. The majority recommended that routine antibiotic prescription should be avoided in mild to moderate cases and when there was diagnostic uncertainty in patients two years and older. Antibiotics were recommended in children two years and younger, most commonly a 5-day course of amoxicillin (or a macrolide in patients allergic to penicillin). CONCLUSION: Level 1A evidence shows that selected cases of acute otitis media benefit from antibiotic prescription. SN - 1748-5460 UR - https://www.unboundmedicine.com/medline/citation/22809689/full_citation L2 - https://www.cambridge.org/core/product/identifier/S0022215112001326/type/journal_article DB - PRIME DP - Unbound Medicine ER -