March 2009. Volume 5. Number 1

Currently, there are no studies of sufficient quality to support or reject the conservative attitude in patients with acute otitis media

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Pichichero ME, Casey JR. Diagnostic inaccuracy and subject exclusions render placebo and observational studies of acute otitis media inconclusive. Pediatr Infect Dis J. 2008;27:958-62
Reviewers: Ochoa Sangrador C1, Andrés de Llano JM2.
1Servicio de Pediatrí­a. Hospital Virgen de la Concha. Zamora. España.
2Servicio de Pediatría. Hospital General del Río Carrión. Palencia. España.
Correspondence: Carlos Ochoa Sangrador. Email: cochoas@meditex.es
Acceptance date: 05/02/2009
Publication date: 06/02/2010

Abstract

Authors' conclusions: The information that favors the conservative attitude in the treatment of acute otitis media must be reconsidered until studies of better quality are performed.

Reviewers' comantary: The limitations and the heterogeneity of the studies included in this review raise concerns both for and against the antibiotic treatment in acute otitis media. Further research is needed in this area with controlled clinical trials involving valid and representative samples of patients.

How to cite this article

Ochoa Sangrador C, Andrés de Llano J. En la actualidad no hay estudios de calidad suficiente que apoyen o rechacen la actitud conservadora en los pacientes con otitis media aguda. Evid Pediatr. 2009;5:13.

AVC | Critically appraised articles

Pichichero ME, Casey JR. Diagnostic inaccuracy and subject exclusions render placebo and observational studies of acute otitis media inconclusive. Pediatr Infect Dis J. 2008;27:958-62
Reviewers: Ochoa Sangrador C1, Andrés de Llano JM2.
1Servicio de Pediatrí­a. Hospital Virgen de la Concha. Zamora. España.
2Servicio de Pediatría. Hospital General del Río Carrión. Palencia. España.
Correspondence: Carlos Ochoa Sangrador. Email: cochoas@meditex.es
Acceptance date: 05/02/2009
Publication date: 06/02/2010

How to cite this article

Ochoa Sangrador C, Andrés de Llano J. En la actualidad no hay estudios de calidad suficiente que apoyen o rechacen la actitud conservadora en los pacientes con otitis media aguda. Evid Pediatr. 2009;5:13.

References

  1. American Academy of Pediatrics Subcommittee on Management of Acute Otitis Media. Diagnosis and management of acute otitis media. Pediatrics. 2004;113:1451-65.
  2. Martín P, Ruiz-Canela Cáceres J. Manejo de la otitis media aguda en la infancia. Guía de práctica clínica basada en la evidencia. Sevilla: Agencia de Evaluación de Tecnologías Sanitarias de Andalucía, 2001.
  3. Esparza MJ. Antibióticos para la otitis media: un meta-análisis con datos individuales de pacientes. Traducción autorizada de: Antibiotics for acute otitis media: a meta-analysis with individual patient data. Rovers M M, Glasziou P, Appelman C L, Burke P, McCormick D P, Damoiseaux R A, Gaboury I, Little P, Hoes A W. Lancet. 2006;368:1429-35. University of York. Centre for Reviews and Dissemination (CRD). Database of Abstracts of Reviews of Effects (DARE). Copyright 2006. [fecha de consulta 16-4-2007]. Disponible en: http://www.crd.york.ac.uk/CRDWeb/ShowRecord.asp?View=Full&ID=12006008429. Evid en Pediatr. 2007;3:56.
  4. Fernández Rodríguez M, Martín Muñoz P. Implicar a los padres en la decisión de utilizar antibióticos en la otitis media aguda disminuye su uso. Evid Pediatr.2006;2:81.
  5. Zapalac JS, Billings KR, Schwade ND, Roland PS. Suppurative complications of acute otitis media in the era of antibiotic resistance. Arch Otolaryngol Head Neck Surg. 2002;128:660–3.
06/02/2010

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