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Acute otitis media: who needs posttreatment follow-up?
Pediatrics. 1994 Aug; 94(2 Pt 1):143-7.Ped

Abstract

OBJECTIVE

Because the optimal timing for follow-up of acute otitis media (AOM) is unknown and clinicians' recommendations for timing follow-up are highly variable, a study was conducted to determine which risk factors or symptoms could predict the resolution, recurrence, or persistence of AOM after treatment completion.

METHODS

Three hundred four children from a general pediatric practice in a staff-model health maintenance organization, ages 6 months to 4 years diagnosed with AOM were enrolled in a prospective study of the clinical outcome of AOM at 10 to 21 days from diagnosis. Risk factors, symptoms, and parental observations were obtained by questionnaire at both the initial and follow-up visit 10 to 21 days later. At the follow-up visit, the clinical outcome of resolved AOM or persisting AOM was determined by the examining clinician.

RESULTS

One hundred eighty-one patients returned for follow-up between 10 to 21 days; 24.9% had AOM at follow-up. Parental impression of resolved ear infection and the absence of symptoms at follow-up identified 97.1% of children with resolved AOM. Other factors associated with increased risk of AOM at follow-up were age < or = 15 months and a family history of recurrent AOM in a sibling.

CONCLUSIONS

Because parental judgement of ear status and observation of symptoms appear to accurately identify those children with resolved AOM, a follow-up strategy is proposed in which posttreatment follow-up may be selectively offered to children whose parent(s) feels the infection has not resolved, children whose symptoms persist, or children at higher risk for AOM such as those < or = 15 months or with a family history of recurrent otitis.

Authors+Show Affiliations

Department of Pediatrics, Harvard Community Health Plan, Braintree, MA 02184.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

8036064

Citation

Hathaway, T J., et al. "Acute Otitis Media: Who Needs Posttreatment Follow-up?" Pediatrics, vol. 94, no. 2 Pt 1, 1994, pp. 143-7.
Hathaway TJ, Katz HP, Dershewitz RA, et al. Acute otitis media: who needs posttreatment follow-up? Pediatrics. 1994;94(2 Pt 1):143-7.
Hathaway, T. J., Katz, H. P., Dershewitz, R. A., & Marx, T. J. (1994). Acute otitis media: who needs posttreatment follow-up? Pediatrics, 94(2 Pt 1), 143-7.
Hathaway TJ, et al. Acute Otitis Media: Who Needs Posttreatment Follow-up. Pediatrics. 1994;94(2 Pt 1):143-7. PubMed PMID: 8036064.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute otitis media: who needs posttreatment follow-up? AU - Hathaway,T J, AU - Katz,H P, AU - Dershewitz,R A, AU - Marx,T J, PY - 1994/8/1/pubmed PY - 1994/8/1/medline PY - 1994/8/1/entrez SP - 143 EP - 7 JF - Pediatrics JO - Pediatrics VL - 94 IS - 2 Pt 1 N2 - OBJECTIVE: Because the optimal timing for follow-up of acute otitis media (AOM) is unknown and clinicians' recommendations for timing follow-up are highly variable, a study was conducted to determine which risk factors or symptoms could predict the resolution, recurrence, or persistence of AOM after treatment completion. METHODS: Three hundred four children from a general pediatric practice in a staff-model health maintenance organization, ages 6 months to 4 years diagnosed with AOM were enrolled in a prospective study of the clinical outcome of AOM at 10 to 21 days from diagnosis. Risk factors, symptoms, and parental observations were obtained by questionnaire at both the initial and follow-up visit 10 to 21 days later. At the follow-up visit, the clinical outcome of resolved AOM or persisting AOM was determined by the examining clinician. RESULTS: One hundred eighty-one patients returned for follow-up between 10 to 21 days; 24.9% had AOM at follow-up. Parental impression of resolved ear infection and the absence of symptoms at follow-up identified 97.1% of children with resolved AOM. Other factors associated with increased risk of AOM at follow-up were age < or = 15 months and a family history of recurrent AOM in a sibling. CONCLUSIONS: Because parental judgement of ear status and observation of symptoms appear to accurately identify those children with resolved AOM, a follow-up strategy is proposed in which posttreatment follow-up may be selectively offered to children whose parent(s) feels the infection has not resolved, children whose symptoms persist, or children at higher risk for AOM such as those < or = 15 months or with a family history of recurrent otitis. SN - 0031-4005 UR - https://www.unboundmedicine.com/medline/citation/8036064/Acute_otitis_media:_who_needs_posttreatment_follow_up L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&amp;pmid=8036064 DB - PRIME DP - Unbound Medicine ER -