Items in FPM with MESH term: Otitis Media

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AAP, AAFP Release Guideline on Diagnosis and Management of Acute Otitis Media - Practice Guidelines

A Joint Clinical Practice Guideline for Acute Otitis Media - Editorials

Short Course of Antibiotics for Acute Otitis Media Treatment - Cochrane for Clinicians

Acute Otitis Media Caused by Resistant Pneumococci - Editorials

Controversy in Otitis Media Management: Should We Follow the CDC Recommendations? - Editorials

Tympanocentesis: To Tap or Not to Tap - Editorials

Should Children with Acute Otitis Media Routinely be Treated with Antibiotics? No: Most Children Older Than Two Years Do Not Require Antibiotics - Editorials

Should Children with Acute Otitis Media Routinely Be Treated with Antibiotics? Yes: Routine Treatment Makes Sense for Symptomatic, Emotional, and Economic Reasons - Editorials

Otitis Media: Diagnosis and Treatment - Article

ABSTRACT: Acute otitis media is diagnosed in patients with acute onset, presence of middle ear effusion, physical evidence of middle ear inflammation, and symptoms such as pain, irritability, or fever. Acute otitis media is usually a complication of eustachian tube dysfunction that occurs during a viral upper respiratory tract infection. Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis are the most common organisms isolated from middle ear fluid. Management of acute otitis media should begin with adequate analgesia. Antibiotic therapy can be deferred in children two years or older with mild symptoms. High-dose amoxicillin (80 to 90 mg per kg per day) is the antibiotic of choice for treating acute otitis media in patients who are not allergic to penicillin. Children with persistent symptoms despite 48 to 72 hours of antibiotic therapy should be reexamined, and a second-line agent, such as amoxicillin/clavulanate, should be used if appropriate. Otitis media with effusion is defined as middle ear effusion in the absence of acute symptoms. Antibiotics, decongestants, or nasal steroids do not hasten the clearance of middle ear fluid and are not recommended. Children with evidence of anatomic damage, hearing loss, or language delay should be referred to an otolaryngologist.

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