OBJECTIVES To test the effect of adenoidectomy in connection with tympanostomy compared with tympanostomy only in preventing otitis media in children younger than 2 years. DESIGN Prospective trial with randomized and nonrandomized arms. SETTING Primary care study clinics. PARTICIPANTS AND INTERVENTIONS The study participants were selected from 2497 children who had been enrolled in the Fi...

Acute otitis media, the most common bacterial infection in early childhood, is caused in the majority of cases by four bacterial pathogens: Streptococcus pneumoniae, nontypeable Haemophylus influenzae, Moraxella catarrhalis and group A Streptococcus [1,2]. The pendulum on the controversial topic of treating acute otitis media with antibiotics has swung back and forth during the last 50–60 years...

OBJECTIVE To identify the risk factors for otitis media with effusion (OME) in some kindergarten children in Wuhan City of China and analyze the results with reference to the review of the literature. METHODS The study subjects were 3 to 6 years old children drawn from a school screening program for OME in Wuhan. All subjects were assessed with routine otorhinolaryngologic examination, otosco...

OBJECTIVE To determine the efficacy of coamoxiclav in children aged 6 months to 12 years with recurrent acute otitis media. DESIGN A randomised double blind placebo controlled clinical trial. SETTING General practice in the Netherlands. PATIENTS 121 children with recurrent acute otitis media, defined by onset of otalgia and otoscopic signs of middle ear infection within four to 52 weeks a...

STUDY OBJECTIVE The relation between a history of disorders suggestive of acute otitis media, symptoms, and findings of an examination of the tympanic membrane and doctors' certainty of diagnosis. Also, to examine differences in prescribing habits for acute otitis media among doctors from different countries. DESIGN Questionnaires were completed by participating doctors for a maximum of 15 co...