Feb 1, 2012 Issue
Steroids for the Treatment of Otitis Media with Effusion in Children [Cochrane for Clinicians]

Oral steroid use, alone or in combination with antibiotics, speeds the resolution of otitis media with effusion. However, there is no evidence that oral steroids improve symptoms or affect long-term outcomes, such as hearing loss. Topical nasal steroids have no effect on otitis media with effusion.

Jan 15, 2012 Issue
Antibiotics for Acute Otitis Media in Young Children: The Case of the Shifting End Points [AFP Journal Club]

A discussion of why the conclusion of a high-profile study, which suggests that antibiotics are beneficial in children six to 23 months of age with acute otitis media, is incorrect.

Nov 15, 2011 Issue
Antibiotics for Acute Otitis Media in Young Children [AFP Journal Club]

Two studies aim to clarify the appropriate use of antibiotic treatment in young children with acute otitis media.

Jan 1, 2011 Issue
Short Course of Antibiotics for Acute Otitis Media Treatment [Cochrane for Clinicians]

Antibiotic courses between two and seven days in duration are associated with a slightly higher risk of treatment failure than longer courses (number needed to treat = 33), but also a somewhat lower risk of adverse gastrointestinal effects (number needed to harm = 29). Ceftriaxone (Rocephin) and azi...

Mar 1, 2008 Issue
Diagnosis of Ear Pain [Article]

Many patients in primary care present with ear pain (otalgia). When the ear is the source of the pain (primary otalgia), the ear examination is usually abnormal. When the ear is not the source of the pain (secondary otalgia), the ear examination is typically normal. The cause of primary otalgia is u...

Dec 1, 2007 Issue
Diagnosis and Treatment of Otitis Media [Article]

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...

Apr 1, 2007 Issue
Decongestants and Antihistamines Do Not Relieve Symptoms of Otitis Media with Effusion [Cochrane for Clinicians]

Children with otitis media with effusion do not benefit from decongestants or antihistamines. Common adverse effects of these therapies are gastrointestinal upset, irritability, drowsiness, and dizziness (number needed to harm = 9).

Nov 1, 2006 Issue
Otitis Externa: Review and Clinical Update [Article]

Otitis externa can take an acute or a chronic form, with the acute form affecting four in 1,000 persons annually and the chronic form affecting 3 to 5 percent of the population. Acute disease commonly results from bacterial (90 percent of cases) or fungal (10 percent of cases) overgrowth in an ear c...

Sep 1, 2005 Issue
Do Tympanostomy Tubes for OME Prevent Hearing Loss? [Cochrane for Clinicians]

In children with typical hearing and language development, immediate placement of tympanostomy tubes for OME does not improve important long-term outcomes compared with a period of watchful waiting and placement of tubes only if there is no improvement.

Jun 15, 2005 Issue
AHRQ Data on Antibiotic Use in Children with Otitis Media [Practice Guidelines]

As part of its Medical Expenditure Panel Survey, the Agency for Healthcare Research and Quality (AHRQ) examined the use of antibiotics to treat otitis media in children.

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