Short-course antibiotics for acute otitis media

Kozyrskyj, Anita L.; Klassen, Terry P; Moffatt, Michael; Harvey, Krystal

doi:10.1002/14651858.cd001095.pub2

Cited by 65 publications

(32 citation statements)

References 87 publications

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“…A shorter course of 5-day treatment is based on our own research 18 and a Cochrane Database of Systematic Reviews protocol showing a marginal benefit of 10-day over 5-day antibiotic treatment. 19 Children allergic to amoxicillin or who previously could not tolerate amoxicillin and/or clavulanate received cefdinir (∼15% of cases).…”

Section: (B)mentioning

confidence: 99%

Epidemiology of Acute Otitis Media in the Postpneumococcal Conjugate Vaccine Era

2017

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Section: (B)mentioning

confidence: 99%

Epidemiology of Acute Otitis Media in the Postpneumococcal Conjugate Vaccine Era

2017

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“…The search in the Cochrane Library on the subject acute otitis media found 22 Cochrane Reviews, 5 of which met inclusion criteria [15][16][17][18][19], yielding 135 articles from 73 journals. For pneumonia, the search in the Cochrane Library found 62 reviews, of which 9 met the inclusion criteria, yielding 251 articles from 110 journals [20][21][22][23][24][25][26][27][28].…”

Section: Resultsmentioning

confidence: 99%

Does Bradford's Law of Scattering predict the size of the literature in Cochrane Reviews?

Nash-Stewart¹,

Kruesi²,

Mar³

2012

J Med Libr Assoc

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“…Nevertheless, several studies have recommended shorter courses for children, particularly for infants under two years of age, with 5-7 day courses being recommended. [42][43][44][45][46][47] The prescription of analgesics was shown to be practically routine, with 97.1% of doctors prescribing analgesics in addition to antibiotics for the management of otalgia and other symptoms. This concern with treating pain is in agreement with the AAP recommendations.…”

Section: Discussionmentioning

confidence: 99%

Acute Otitis Media in Childhood - Use of Guidelines for Diagnosis and Treatment in Emergency Rooms

Lima¹,

Cazzetta²,

Cabral³

et al. 2019

AJP

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Background: AOM is characterized by its high prevalence and morbidity but low lethality. It is estimated that 70% of children will have had one episode prior to completing five years of age Compliance with the guidelines for acute otitis media (AOM) may avoid complications. This study aimed at determining whether pediatricians follow the guidelines for AOM management. Methods: A prospective, cross-sectional study involving pediatricians working in emergency centers in Recife. A specific questionnaire was used to collect data. Results: Of the 71 pediatrics interviewed around 98% gave importance to crying/irritability and otalgia when diagnosing otitis and all recognized the significance of otorrhoea. All the professionals gave importance to bulging tympanic membrane, 98.6% to acute tympanic membrane perforation, 97.1% to purulent effusion and 46.5% to bilateral hyperemia of the tympanic membrane. Regarding antibiotic therapy, 70.4% used standard doses of amoxicillin as first-line treatment (81.7% prescribing for 10 days). Furthermore only 47.9% double the dose in case of therapeutic failure. Conclusion: Pediatricians working in emergency departments need to be better informed about the guidelines to decrease inappropriate prescription of antibiotics for AOM. We believe that adoption of the "wait and see" strategy, even in emergency rooms, would be an important means of reducing the inadequate prescription of antibiotics in cases of AOM, thus contributing towards reducing bacterial resistance.

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Short-course antibiotics for acute otitis media

Abstract: Trusted evidence. Informed decisions. Better health.

Cited by 65 publications

References 87 publications

Epidemiology of Acute Otitis Media in the Postpneumococcal Conjugate Vaccine Era

Epidemiology of Acute Otitis Media in the Postpneumococcal Conjugate Vaccine Era

Does Bradford's Law of Scattering predict the size of the literature in Cochrane Reviews?

Acute Otitis Media in Childhood - Use of Guidelines for Diagnosis and Treatment in Emergency Rooms

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