Topical analgesia for acute otitis media

Foxlee, R; Johansson, A; Wejfalk, J; Ullrich, K; Dawkins, J; Dooley, L; Mar, C Del

doi:10.1002/14651858.cd005657

Cited by 12 publications

(4 citation statements)

References 3 publications

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“…A Cochrane review of topical analgesia for AOM 66 searched the Cochrane register of controlled trials, randomized controlled trials, or quasirandomized controlled trials that compared otic preparations to placebo or that compared 2 otic preparations. It included studies of adults and children, without TM perforation.…”

Section: Benefitsmentioning

confidence: 99%

The Diagnosis and Management of Acute Otitis Media

Tunkel

Rosenfeld²,

Sevilla³

et al. 2013

Pediatrics

1,089

832

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This evidence-based clinical practice guideline is a revision of the 2004 acute otitis media (AOM) guideline from the American Academy of Pediatrics (AAP) and American Academy of Family Physicians. It provides recommendations to primary care clinicians for the management of children from 6 months through 12 years of age with uncomplicated AOM.In 2009, the AAP convened a committee composed of primary care physicians and experts in the fields of pediatrics, family practice, otolaryngology, epidemiology, infectious disease, emergency medicine, and guideline methodology. The subcommittee partnered with the Agency for Healthcare Research and Quality and the Southern California Evidence-Based Practice Center to develop a comprehensive review of the new literature related to AOM since the initial evidence report of 2000. The resulting evidence report and other sources of data were used to formulate the practice guideline recommendations.The focus of this practice guideline is the appropriate diagnosis and initial treatment of a child presenting with AOM. The guideline provides a specific, stringent definition of AOM. It addresses pain management, initial observation versus antibiotic treatment, appropriate choices of antibiotic agents, and preventive measures. It also addresses recurrent AOM, which was not included in the 2004 guideline. Decisions were made on the basis of a systematic grading of the quality of evidence and benefit-harm relationships.The practice guideline underwent comprehensive peer review before formal approval by the AAP.This clinical practice guideline is not intended as a sole source of guidance in the management of children with AOM. Rather, it is intended to assist primary care clinicians by providing a framework for clinical decision-making. It is not intended to replace clinical judgment or establish a protocol for all children with this condition. These recommendations may not provide the only appropriate approach to the management of this problem. Pediatrics 2013;131:e964-e999

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Section: Benefitsmentioning

confidence: 99%

The Diagnosis and Management of Acute Otitis Media

Tunkel

Rosenfeld²,

Sevilla³

et al. 2013

Pediatrics

1,089

832

View full text Add to dashboard Cite

show abstract

“…18 This effectively reduces antibiotic use without causing anxiety for the patient or doctor 19 • hand hygiene to reduce the spread of respiratory and other pathogens 20 • alternatives to antibiotics -these include analgesics or decongestants for acute respiratory infections, 21 topical treatments for the pain associated with otitis media, 22 and corticosteroids 23,24 all of which need more evaluation…”

Section: Proposed Activities For the Communitymentioning

confidence: 99%

Antimicrobial stewardship: what’s it all about?

McKenzie¹,

Rawlins²,

Mar³

2013

Aust Prescr

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“…Eine Metaanalyse kam zu der Schlussfolgerung, dass die Datenlage unzureichend ist, um eine generelle Empfehlung für eine lokale Analgetikatherapie bei AOM auszusprechen [8]. Nur 1 der 4 in die Metaanalyse eingeschlossenen Studien verglich analgetische Ohrentropfen mit Placebo (Olivenöl).…”

Section: Analgetikaunclassified

Evidenzbasierte Therapie der akuten Otitis media

Bassler

Förster

2008

Monatsschr Kinderheilkd

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Evidenzbasierte Therapie der akuten Otitis media Leitthema Am Ende des 3. Lebensjahrs hat mehr als die Hälfte aller Kinder eine akute Otitis media durchgemacht. Deren Spontanheilungsrate ist hoch, gleichzeitig sind schwerwiegende Komplikationen zu befürchten. Daher wurden in den letzten Jahren widersprüchliche Therapieempfehlungen ausgesprochen. Im Mittelpunkt der Diskussion steht die Frage nach der Notwendigkeit einer antibiotischen Behandlung. Die evidenzbasierte Medizin liefert mit den Methoden der klinischen Epidemiologie das Instrumentarium dafür, die Frage nach einer wirksamen und sicheren Therapie der AOM zu beantworten.

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Topical analgesia for acute otitis media

Cited by 12 publications

References 3 publications

The Diagnosis and Management of Acute Otitis Media

The Diagnosis and Management of Acute Otitis Media

Antimicrobial stewardship: what’s it all about?

Evidenzbasierte Therapie der akuten Otitis media

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