ITEMS IN AFP WITH KEYWORD:
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...
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...
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).
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.
What are the effects of empirical treatment?
Tympanometry provides useful quantitative information about the presence of fluid in the middle ear, mobility of the middle ear system, and ear canal volume. Its use has been recommended in conjunction with more qualitative information (e.g., history, appearance, and mobility of the tympanic membran...