Recommendations derived from practice audit for the treatment of acute otitis media

Bollag, Ueli

doi:10.1016/0140-6736(91)90086-5

Cited by 17 publications

(6 citation statements)

References 13 publications

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“…In a two year study of 168 children aged 16 and under with acute otitis media we found that antibiotics were not needed in the first instance; treatment with analgesics, and saline nose drops plus inhalation of steam to keep the mucous membranes moist, supported the self healing process and gave relief to the child. We confirmed these results in a study of another 62 children over one year 3. We did not see any case of clinically overt mastoiditis or meningitis.…”

supporting

confidence: 87%

General practitioners want to know whether a treatment works and is safe in practice

Bollag¹

1997

BMJ

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supporting

confidence: 87%

General practitioners want to know whether a treatment works and is safe in practice

Bollag¹

1997

BMJ

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“…[17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] The study population and outcome specifications varied. Five studies reported the clinical failure rate at 1 to 7 days on a total of 739 children, yielding a pooled clinical failure rate of 19% (95% confidence interval [CI]: 0.10 -0.28).…”

Section: Natural History Of Aommentioning

confidence: 99%

Evidence Assessment of Management of Acute Otitis Media: I. The Role of Antibiotics in Treatment of Uncomplicated Acute Otitis Media

et al. 2001

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“…9 Palliative treatment would be an alternative to antibiotics, but has a much higher risk of complications. 10,11 We consider it essential to control the pain in AOM as quickly as possible and to avoid chronic complications, a goal that has been achieved in this study.…”

Section: Discussionmentioning

confidence: 99%

Homeopathy in acute otitis media in children: treatment effect or spontaneous resolution?

Frei¹,

Thurneysen

2001

Br Homeopath J

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The conventional antibiotic treatment of acute otitis media (AOM) faces a number of problems, including antibiotic resistance. Homeopathy has been shown to be capable of treating AOM successfully. As AOM has a high rate of spontaneous resolution, a trial to prove any treatment-effect has to demonstrate very fast resolution of symptoms. The purpose of this study was to find out how many children with AOM are relieved of pain within 12 h after the beginning of homeopathic treatment, making additional measures unnecessary. Two hundred and thirty children with AOM received a first individualized homeopathic medicine in the paediatric office. If pain-reduction was not sufficient after 6 h, a second (different) homeopathic medicine was given. After a further 6 h, children who had not reached pain control were started on antibiotics. Pain control was achieved in 39% of the patients after 6 h, another 33% after 12 h. This resolution rate is 2.4 times faster than in placebo controls. There were no complications observed in the study group, and compared to conventional treatment the approach was 14% cheaper.

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Recommendations derived from practice audit for the treatment of acute otitis media

Cited by 17 publications

References 13 publications

General practitioners want to know whether a treatment works and is safe in practice

General practitioners want to know whether a treatment works and is safe in practice

Evidence Assessment of Management of Acute Otitis Media: I. The Role of Antibiotics in Treatment of Uncomplicated Acute Otitis Media

Homeopathy in acute otitis media in children: treatment effect or spontaneous resolution?

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