March 2011. Volume 7. Number 1

Acute otitis media: current recommendations about diagnosis and treatment are still valid

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Coker TR, Chan LS, Newberry SJ, Limbos MA, Suttorp MJ, Shekelle PG et al. Diagnosis, microbial epidemiology, and antibiotic treatment of acute otitis media in children: a systematic review. JAMA. 2010;304:2161-9.
Reviewers: Ruiz-Canela Cáceres J1, Benito Herreros AM2, Martín Muñoz P3.
1CS Virgen de África. Sevilla. España.
2EAP Taco - La Laguna. Santa Cruz de Tenerife. España.
3Director de Unidad Clínica en Atención Primaria, CS La Plata. Hospital Universitario Virgen del Rocí­o. Sevilla. España.
Correspondence: Juan Ruiz-Canela Cáceres. Email: jruizcanela@gmail.com
Reception date: 01/02/2011
Acceptance date: 04/02/2011
Publication date: 09/02/2011

Abstract

Authors’ conclusions: otoscopic findings are critical to accurate acute otitis media (AOM) diagnosis. AOM microbiology has changed with the use of heptavalent pneumococcal conjugate vaccine. Antibiotics are modestly more effective than no treatment but cause adverse effects in 4% to 10% of children. Most antibiotics have comparable clinical success.

Reviewers’ commentary: AOM is a common cause of consultation and diagnostic uncertainty. Until recently, the prescription of antibiotics was the norm. The possible changes in epidemiology after vaccination against pneumococcus are unknown. The recommendation on whether to begin treatment or not, which antibiotic use and the duration of treatment may change with these findings.

How to cite this article

Ruiz-Canela Cáceres J, Benito Herreros A, Martín Muñoz P. Otitis media aguda: actualmente siguen siendo válidas las recomendaciones sobre su diagnóstico y tratamiento. Evid Pediatr. 2011;7:16.

AVC | Critically appraised articles

Coker TR, Chan LS, Newberry SJ, Limbos MA, Suttorp MJ, Shekelle PG et al. Diagnosis, microbial epidemiology, and antibiotic treatment of acute otitis media in children: a systematic review. JAMA. 2010;304:2161-9.
Reviewers: Ruiz-Canela Cáceres J1, Benito Herreros AM2, Martín Muñoz P3.
1CS Virgen de África. Sevilla. España.
2EAP Taco - La Laguna. Santa Cruz de Tenerife. España.
3Director de Unidad Clínica en Atención Primaria, CS La Plata. Hospital Universitario Virgen del Rocí­o. Sevilla. España.
Correspondence: Juan Ruiz-Canela Cáceres. Email: jruizcanela@gmail.com
Reception date: 01/02/2011
Acceptance date: 04/02/2011
Publication date: 09/02/2011

How to cite this article

Ruiz-Canela Cáceres J, Benito Herreros A, Martín Muñoz P. Otitis media aguda: actualmente siguen siendo válidas las recomendaciones sobre su diagnóstico y tratamiento. Evid Pediatr. 2011;7:16.

References

  1. Takata GS, Chan LS, Shekelle PG, Morton SC, Mason W, Marcy SM. Evidence assessment of management of acute otitis media, I: the role of antibiotics in treatment of uncomplicated acute otitis media. Pediatrics. 2001;108:239-47.
  2. Southern California Evidence-based PracticeCenter. Management of Acute Otitis Media, Update. Rockville, MD: Agency for Healthcare Research and Quality; 2010. [en línea] [consultado: 25-I-2011]. Disponible en  http://www.ahrq.gov/clinic/tp/otitisuptp.htm
  3. Del Castillo Martín F, Delgado Rubio A, Rodrigo G. de Liria C, Villafruela MA, Cervera J, Picazo JJ. Consenso Nacional sobre Otitis Media Aguda. Asociación Española de Pediatría y Sociedad Española de Otorrinolaringología y Patología Cervicofacial. An Pediatr (Barc). 2007;66:603-10.
  4. Subcommittee on Management of Acute Otitis Media. American Academy of Pediatrics and American Academy of Family Physicians. Clinical Practice Guideline Diagnosis and Management of Acute Otitis Media. Pediatrics. 2004;113:1451-65.
  5. Marchisio P, Bellussi L, Di Mauro G, Doria M, Felisati G, Longhi R et al. Acute otitis media: From diagnosis to prevention. Summary of the Italian guideline. Int J Pediatr Otorhinolaryngol. 2010;74:1209-16.
09/02/2011

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