Section two: otitis media. FP Essent 2013 Dec;415:17-21
Date
12/18/2013Pubmed ID
24328949Scopus ID
2-s2.0-84899778658 (requires institutional sign-in at Scopus site)Abstract
With the widespread use of vaccinations against Streptococcus pneumoniae, the frequency of acute otitis media (OM) has decreased significantly in recent years. Current management varies considerably in different countries, but there is consensus that most mild cases in children older than 6 months can be treated with observation and analgesics. When antibiotic therapy is indicated for children younger than 6 months or older children with severe or unrelenting symptoms, initial management with amoxicillin or amoxicillin-clavulanate is recommended. For children with recurrent OM or persistent serous OM, prophylactic antibiotic regimens appear to be effective. Insertion of tympanostomy tubes can be useful to prevent recurrences but confers little benefit on speech acquisition. Tonsillectomy and adenoidectomy yield minimal benefit for children with OM.
Author List
Hueston WJ, Kaur DMESH terms used to index this publication - Major topics in bold
AdenoidectomyAnti-Bacterial Agents
Child
Child, Preschool
Humans
Infant
Middle Ear Ventilation
Otitis Media
Tonsillectomy
