INTRODUCTION Acute otitis media (AOM) is a common reason for primary care visits in children. Yet, there is considerable debate on the most effective treatment. METHODS AND OUTCOMES We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of treatments (analgesics, antibiotics, and myringotomy) in children with AOM? We searched: Medline, Emba...

BrMedJ 1990;300:582-6 Abstract 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 doctors0 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 d...

BACKGROUND No published studies on the prevalence of paediatric otitis media at primary healthcare clinics (PHCs) in South Africa (SA) are available. OBJECTIVE To examine the point prevalence of otitis media in a paediatric population in a PHC in Johannesburg, SA, using otomicroscopy. METHODS A sample of 140 children aged 2 - 16 years (mean 6.4; 44.1% females) were recruited from patients a...

OBJECTIVE This study uses the acute otitis media clinical practice guideline proposed in 2004 as a reference to evaluate whether antibiotics doses that are in line with the recommendations lead to better prognosis. The study also attempts to clarify possible factors that influence the outcome. STUDY DESIGN Retrospective cohort study. SUBJECTS AND METHODS A total of 400 children with acute o...

BACKGROUND & OBJECTIVES The availability of a type-specific pneumococcal vaccine for children is a worldwide problem. It is necessary to study the serotypes prevalent in a country before introducing a type-specific vaccine. The objective of the present study was to analyse the prevalence of Streptococcus pneumoniae serotypes in children suffering from acute otitis media or invasive pneumococcal...

OBJECTIVE Review evidence about modifiable risk factors for recurrent acute otitis media. SOURCE OF DATA MEDLINE with no language restriction, from January 1966 to July 2005, using descriptors "acute otitis media/risk factors". Two hundred and fifty-seven articles were obtained. These included randomized clinical trials, cohorts, case-control and cross-sectional studies that contained analyse...

OBJECTIVE To evaluate the current knowledge, practice patterns, skills, and attitudes of Canadian pediatricians and family physicians regarding the role of diagnostic tympanocentesis in the management of acute otitis media in children. DESIGN Survey. SETTING AND PARTICIPANTS A self-completion questionnaire was mailed to a random selection of 302 pediatricians and 196 family physicians pract...

BACKGROUND Conventional management of acute otitis media, deduced from pathophysiology, embodies scant regard to analgesia, but concentrates on the microbiological cure by the use of antibiotics. OBJECTIVE A commonly encountered case of uncomplicated acute otitis media in a child of three is presented. An evidence based approach to management is offered. RESULTS The search for empirical evi...