Sep 15, 2019 Issue
Otitis Media: Rapid Evidence Review [Article]

Acute otitis media, the most common diagnosis in childhood acute sick visits, can cause ear pain, fever, irritability, otorrhea, anorexia, and sometimes vomiting and lethargy. Treatment usually consists of pain management and antibiotics. However, observation with deferment of initial antibiotics is an option in some children without severe symptoms. Pneumococcal and influenza vaccines and exclusive breastfeeding until at least six months of age can reduce the risk of acute otitis media.

Jan 1, 2018 Issue
Ear Pain: Diagnosing Common and Uncommon Causes [Article]

When patients present with otalgia, the first step is to determine whether the pain is originating from inside or outside the ear. Review the history and physical examination findings that can help identify the diagnosis, as well as the risk factors that may indicate a more serious condition.

Apr 1, 2017 Issue
If You Give Amoxicillin/Clavulanate to Six- to 23-Month-Olds with AOM, 10 Days Is Preferable to Five days [POEMs]

These authors begin with the assumption that we should treat children who have AOM with amoxicillin/clavulanate. The greatest benefit was in children one to two years of age who had more severe pain and fever. In children with less severe symptoms, observation should still be the preferred option, a...

Jan 15, 2017 Issue
Acute Otitis Media in Children [Clinical Evidence Handbook]

What are the effects of treatments (analgesics, antibiotics, and myringotomy) in children with acute otitis media?

Nov 1, 2016 Issue
AAO-HNS Releases Updated Guideline on Management of Otitis Media with Effusion [Practice Guidelines]

Otitis media with effusion (OME) is defined as the presence of fluid in the middle ear in the absence of signs or symptoms of acute ear infection. This practice guideline from the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) provides recommendations to improve diagnostic accura...

Nov 15, 2014 Issue
AAO-HNSF Releases Clinical Practice Guideline on Acute Otitis Externa [Practice Guidelines]

A diagnosis of acute otitis externa (AOE) requires sudden onset (e.g., within 48 hours) within the past three weeks of symptoms (e.g., otalgia, itching, fullness, hearing loss, jaw pain) and signs (e.g., tenderness of the tragus or pinna) indicating inflammation of the ear canal. Because there is a ...

Nov 15, 2013 Issue
Chronic Suppurative Otitis Media [Clinical Evidence Handbook]

What are the effects of treatments for chronic suppurative otitis media in adults and children? What are the effects of treatments for cholesteatoma in adults and children?

Oct 1, 2013 Issue
Otitis Media: Diagnosis and Treatment [Article]

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...

Dec 1, 2012 Issue
Acute Otitis Externa: An Update [Article]

Acute otitis externa is a common condition involving inflammation of the ear canal. The acute form is caused primarily by bacterial infection, with Pseudomonas aeruginosa and Staphylococcus aureus the most common pathogens. Acute otitis externa presents with the rapid onset of ear canal inflammation...

Nov 15, 2012 Issue
Infectious Etiologies of Acute Otitis Media [FPIN's Clinical Inquiries]

There is no preferred method for establishing the infectious etiology of acute otitis media (AOM). Bacterial or viral pathogens are found in most cases. Bacterial pathogens are more common than viruses in middle ear fluid samples collected from children with AOM and intact tympanic membranes. Studie...

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