Items in AFP with MESH term: Otitis Media with Effusion
Diagnosis and Treatment of Otitis Media - Article
ABSTRACT: Diagnostic criteria for acute otitis media include rapid onset of symptoms, middle ear effusion, and signs and symptoms of middle ear inflammation. Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis are the most common bacterial isolates from the middle ear fluid of children with acute otitis media. Fever, otalgia, headache, irritability, cough, rhinitis, listlessness, anorexia, vomiting, diarrhea, and pulling at the ears are common, but nonspecific symptoms. Detection of middle ear effusion by pneumatic otoscopy is key in establishing the diagnosis. Observation is an acceptable option in healthy children with mild symptoms. Antibiotics are recommended in all children younger than six months, in those between six months and two years if the diagnosis is certain, and in children with severe infection. High-dosage amoxicillin (80 to 90 mg per kg per day) is recommended as first-line therapy. Macrolide antibiotics, clindamycin, and cephalosporins are alternatives in penicillin-sensitive children and in those with resistant infections. Patients who do not respond to treatment should be reassessed. Hearing and language testing is recommended in children with suspected hearing loss or persistent effusion for at least three months, and in those with developmental problems.
Treatments for Persistent Otitis Media with Effusion - FPIN's Clinical Inquiries
Do Tympanostomy Tubes for OME Prevent Hearing Loss? - Cochrane for Clinicians
Decongestants and Antihistamines Do Not Relieve Symptoms of Otitis Media with Effusion - Cochrane for Clinicians
Steroids for the Treatment of Otitis Media with Effusion in Children - Cochrane for Clinicians