The AAFP was pleased to collaborate with the American Academy of Pediatrics (AAP) to develop a comprehensive, evidence-based guideline for Diagnosis and Management of Acute Otitis Media (AOM). The guideline, approved by the AAFP Board in 2004, has since been reviewed and updated by the AAP. The updated guideline provides recommendations for the diagnosis and management of AOM, including recurrent AOM, in children from 6 months through 12 years of age. The guideline applies only to an otherwise healthy child without underlying conditions that may alter the natural course of AOM.
The American Academy of Pediatrics, American Academy of Family Physicians, and American Academy of Otolaryngology-Head and Neck Surgery selected a subcommittee composed of experts in the fields of primary care, otolaryngology, infectious diseases, epidemiology, hearing, speech and language, and advanced practice nursing to revise the Otitis Media With Effusion guideline.
The subcommittee made a strong recommendation that clinicians use pneumatic otoscopy as the primary diagnostic method and distinguish OME from acute otitis media (AOM). The subcommittee made recommendations that clinicians should:
The subcommittee made negative recommendations that:
The subcommittee gave as options that:
The subcommittee made no recommendations for:
These guidelines are provided only as assistance for physicians making clinical decisions regarding the care of their patients. As such, they cannot substitute for the individual judgment brought to each clinical situation by the patient’s family physician. As with all clinical reference resources, they reflect the best understanding of the science of medicine at the time of publication, but they should be used with the clear understanding that continued research may result in new knowledge and recommendations. These guidelines are only one element in the complex process of improving the health of America. To be effective, the guidelines must be implemented.
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Otitis Media -- Clinical Practice Guidelines