Recent advances in the treatment of otitis media

The purpose of this study was to develop and test an analytical technique for describing variations in the antibiotic prescribing process for otitis media (OM) in ambulatory medical plans. DESIGN: Using medical, hospital, and pharmacy claims over an 18-month period, a computerized rule-based system identified which antibiotics were probable therapy for OM. For each patient and OM episode of treatment, the rulebased system recorded the ordinal sequencing of specific antibiotics, including first-line and fOllow-up choices, to treat the OM condition. SETTING: Three medical plans in the Midwest were studied: a Medicaid-funded IPA-model HMO; an employer-funded, indemnity-based PPO; and an employer-funded "at-risk" network. RESULTS: The number of OM antibiotics dispensed per subject was similar among plans. For first-line therapy, inexpensive penicillinase-sensitive penicillins, trimethoprim-sulfamethoxazole, and erythromycin-sulfisoxazole, ....

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Therapy of Acute Otitis Media

Sagraves

Maish

1994

PharmacoEconomics

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Acute otitis media is a common health problem worldwide that accounts for significant morbidity, primarily among pre-school-age children, for which antimicrobial therapy is currently the treatment of choice. Approximately 25% of all prescriptions written in the US for children under the age of 10 years are for children diagnosed as having acute otitis media. Until adequately designed studies with appropriate patient populations are conducted, clinicians must base their decisions to treat acute otitis media with antimicrobial therapy, and their choice of drug, on local susceptibility patterns (if known), in vitro and in vivo studies, adverse effect profiles, tolerability, and affordability. Such studies will hopefully answer questions about selecting an antimicrobial for acute otitis media and address the comprehensive cost of using various antimicrobials for the condition. Because of the human and economic costs associated with acute otitis media, healthcare practitioners should also be aware of the epidemiology, pathophysiology and various treatment options for children with acute otitis media.

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Recent advances in the treatment of otitis media

Cited by 5 publications

References 71 publications

Management issues in paediatric pharyngitis and otitis media

Management issues in paediatric pharyngitis and otitis media

Evaluation of a Rule-Based Program to Describe Antibiotic Utilization for Otitis Media Among Three Medical Plans

Therapy of Acute Otitis Media

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