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Acute Otitis Media Observation

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1. Otitis media (acute): antimicrobial prescribing

Otitis media (acute): antimicrobial prescribing Otitis media (acute Otitis media (acute): antimicrobial ): antimicrobial prescribing prescribing NICE guideline Published: 28 March 2018 nice.org.uk/guidance/ng91 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration (...) be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Otitis media (acute): antimicrobial prescribing (NG91) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 21Contents Contents Overview 4 Who

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

2. Otitis media - acute: Scenario: Acute otitis media - initial presentation

of immediate antibiotics and expectant observation in four trials (n = 1007, moderate quality evidence), found no difference in [ ]: Pain between the antibiotic and expectant observation groups at 3–7 days (RR 0.75, 95% CI 0.50 to 1.12) or 11–14 days in a subgroup of 247 children (RR 0.91, 95% CI 0.75 to 1.10). Abnormal tympanometry findings at 4 weeks. Tympanic membrane perforations. Recurrence of acute otitis media. Choice of antibiotic and duration of treatment Recommendations on the choice and duration (...) Otitis media - acute: Scenario: Acute otitis media - initial presentation Scenario: Acute otitis media - initial presentation | Management | Otitis media - acute | CKS | NICE Search CKS… Menu Scenario: Acute otitis media - initial presentation Otitis media - acute: Scenario: Acute otitis media - initial presentation Last revised in July 2018 Scenario: Acute otitis media - initial presentation From age 1 month onwards. How should I manage people at initial presentation? Admit for immediate

2016 NICE Clinical Knowledge Summaries

3. Preventing recurrent acute otitis media with Streptococcus salivarius 24SMB and Streptococcus oralis 89a five months intermittent treatment: An observational prospective cohort study. (Abstract)

Preventing recurrent acute otitis media with Streptococcus salivarius 24SMB and Streptococcus oralis 89a five months intermittent treatment: An observational prospective cohort study. Acute otitis media (AOM) is the most common childhood disease leading to antibiotic use. More than 80% of children under three years of age experience at least one episode, and about one-third of these report significant recurrence of episodes. In recent years, several studies reported that normal nasopharyngeal

2020 International Journal of Pediatric Otorhinolaryngology

4. Improving pain management in childhood acute otitis media in general practice: a cluster randomised controlled trial of a GP-targeted educational intervention Full Text available with Trip Pro

Improving pain management in childhood acute otitis media in general practice: a cluster randomised controlled trial of a GP-targeted educational intervention Improving pain management in childhood acute otitis media in general practice: a cluster randomised controlled trial of a GP-targeted educational intervention - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced (...) Actions . 2020 Oct 1;70(699):e684-e695. doi: 10.3399/bjgp20X712589. Print 2020 Oct. Improving pain management in childhood acute otitis media in general practice: a cluster randomised controlled trial of a GP-targeted educational intervention , , , , , , Affiliations Expand Affiliations 1 Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands. 2 University College London; National Institute for Health Research research professor evidENT, Ear

2020 EvidenceUpdates

5. Otitis media with effusion

on suspected hearing loss, taking a clinical history, examining the ears, considering the need for a wider examination of the respiratory system, including the nose and throat, excluding alternative diagnoses (for example acute otitis media, foreign body, impacted wax, and balance disorders), confirming the diagnosis with tympanometry and assessing hearing loss with audiometry. Spontaneous resolution of OME is common, so for most children a period of active observation over 6–12 weeks is appropriate (...) is uncertain, but over 50% of cases are thought to follow an episode of acute otitis media, especially in children under 3 years of age. Persistence of OME may be caused by one or more of the following: Impaired eustachian tube function causing poor aeration of the middle ear. Low-grade viral or bacterial infection. Persistent local inflammatory reaction. Adenoidal infection or hypertrophy. OME is more common in children with cleft palate, Down's syndrome, cystic fibrosis, primary ciliary dyskinesia

2020 NICE Clinical Knowledge Summaries

6. Adaptation of pain scales for parent observation: are pain scales and symptoms useful in detecting pain of young children with the suspicion of acute otitis media? Full Text available with Trip Pro

Adaptation of pain scales for parent observation: are pain scales and symptoms useful in detecting pain of young children with the suspicion of acute otitis media? The assessment of ear pain is challenging in young, mostly preverbal children. Our aim was to investigate whether pain scales are useful tools for parents to detect pain in their young children with the suspicion of acute otitis media (AOM), and to assess associations between 16 symptoms and the severity of pain.This cross-sectional (...) . Of symptoms, ear pain reported by child and restless sleep might indicate pain in children with respiratory tract infection. We suggest that the adaptation of pain scales for parent observation is a possibility in children with respiratory tract infection which, however, requires further studies.www.clinicaltrials.gov , identifier NCT00299455 . Date of registration: March 3, 2006.

2018 BMC Pediatrics

7. Antibiotic Prescribing Patterns for Acute Otitis Media for Children 2 Years and Older. (Abstract)

Antibiotic Prescribing Patterns for Acute Otitis Media for Children 2 Years and Older. To determine the frequency that non-first-line antibiotics, safety-net antibiotic prescriptions (SNAPS), and longer than recommended durations of antibiotics were prescribed for children ≥2 years of age with acute otitis media and examine patient and system level factors that contributed to these outcomes.Children age ≥2 years with acute otitis media seen at Denver Health Medical Center outpatient locations (...) that emphasize the duration of antibiotic therapy as well as the use of SNAPs or observation may be higher yield than those focusing on first-line therapy alone. Numerous system and patient level factors are associated with off-guideline prescribing.Copyright © 2020 Elsevier Inc. All rights reserved.

2020 Journal of Pediatrics

8. Prescription of antibiotics to children with acute otitis media in Danish general practice. Full Text available with Trip Pro

Prescription of antibiotics to children with acute otitis media in Danish general practice. Acute otitis media (AOM) is a common and most often self-limiting infection in childhood, usually managed in general practice. Even though antibiotics are only recommended when certain diagnostic and clinical criteria are met a high antibiotic prescription rate is observed. The study's objective was to analyse associations between patient- and general practitioner (GP) characteristics and antibiotic (...) patients with symptoms of an acute respiratory tract infection (OR 2.85 CI 95% 1.07-7.60) and specifically to other children with AOM (OR 4.15 CI 95% 1.82-9.47).GPs' antibiotic prescribing rates for children with AOM vary considerably even considering the of signs, symptoms, request for antibiotics, and use of tympanometry. Interventions to reduce overprescribing should be targeted high-prescribing practices.

2020 BMC Family Practice

9. Trend and patterns in the antibiotics prescription for the acute otitis media in Korean children. (Abstract)

Trend and patterns in the antibiotics prescription for the acute otitis media in Korean children. The Korean Otologic Society developed guidelines for treatment of acute otitis media (AOM) in 2010, which advocated limiting the prescription of antibiotics. However, it is not known whether this has influenced the antibiotic prescription rate. Thus, this study aimed to examine the impact of these guidelines on the patterns in antibiotic prescription for AOM in Korean children.AOM patients aged (...) prescription rates for AOM following implementation of the Korean AOM treatment guidelines. The practice of antibiotic prescription for children with AOM appears to have decreased every year. However, the overall antibiotic prescription rate is still high. Therefore, clinicians should understand and adhere to the guidelines, and merely observe children with mild AOM symptoms.Copyright © 2019 Elsevier B.V. All rights reserved.

2020 International Journal of Pediatric Otorhinolaryngology

10. Impact of Pediatric Acute Otitis Media on Child and Parental Quality of Life and Associated Productivity Loss in Malaysia: A Prospective Observational Study Full Text available with Trip Pro

Impact of Pediatric Acute Otitis Media on Child and Parental Quality of Life and Associated Productivity Loss in Malaysia: A Prospective Observational Study Acute otitis media (AOM) affects both child and parental quality of life (QoL). Data on QoL associated with AOM in Malaysia is sparse, and the burden of indirect costs have not been previously reported.To determine the effect of pediatric AOM on child and parental QoL in Malaysia and its economic impact (indirect costs).We utilized a set (...) of QoL questionnaires (PAR-AOM-QOL, OM-6, and EQ-5D) combined with questions addressing work/productivity loss and financial costs associated with caring for a child during his or her illness in an observational, multicenter, prospective study.One hundred and ten AOM patients aged ≤5 years were included in the analysis. The majority of respondents were the patient's mother. Parental QoL was negatively affected for both emotional and daily disturbance scales, but the level of disturbance was low

2016 Drugs - real world outcomes

11. Otovent nasal balloon for otitis media with effusion

dysfunction associated with glue ear (otitis media with effusion), or after flying, diving or pressure chamber treatment. It would most likely be used in children with glue ear during or after an active observation period following diagnosis, to help avoid the need for surgery. Effectiv Effectiveness and safety eness and safety No relevant evidence was found for the use of Otovent in adults. Four randomised controlled trials involving a total of 565 children showed statistically significant improvements (...) -and- conditions#notice-of-rights). Page 4 of 24which may follow an upper respiratory tract infection, an episode of acute otitis media, or air pressure changes associated with flying, diving or pressure chamber treatment. Otovent may be used by children aged 3 years and over and by adults. It would be used on the advice of a clinician in either primary or secondary care; children would normally be taught how to use the device by a clinician, after which they can be treated at home under parental supervision

2016 National Institute for Health and Clinical Excellence - Advice

12. Pneumococcal serotype 19A is the major cause of pediatric acute otitis media with ruptured tympanic membrane in Addis Ababa, Ethiopia, 5 years after the introduction of the ten-valent pneumococcal conjugate vaccine. Full Text available with Trip Pro

Pneumococcal serotype 19A is the major cause of pediatric acute otitis media with ruptured tympanic membrane in Addis Ababa, Ethiopia, 5 years after the introduction of the ten-valent pneumococcal conjugate vaccine. In Ethiopia, there is a lack of data on pneumococcal serotypes causing acute otitis media (AOM) in children. We aimed to study the etiology, pneumococcal serotypes and antimicrobial resistance patterns of isolates from children with AOM with spontaneous perforation of the tympanic (...) membrane (SPTM).We carried out a prospective observational study in children with AOM with SPTM, aged 0-15 years in Addis Ababa, Ethiopia. Middle ear fluid was collected using sterile swabs, cultured and antibiotic susceptibility testing was performed. Serotypes of Streptococcus pneumoniae were determined by sequencing the cpsB gene and by the Quellung reaction.A total of 55 children were enrolled. Out of 55 samples that were cultured, 52 (94.5%) were culture positive for a total of 66 bacterial

2019 International Journal of Pediatric Otorhinolaryngology

13. Compound shuanghua tablets combined with Western medicine on serum and secretion inflammatory factors in patients with acute secretory otitis media caused by swimming. (Abstract)

Compound shuanghua tablets combined with Western medicine on serum and secretion inflammatory factors in patients with acute secretory otitis media caused by swimming. To observe and analyze the effect of compound shuanghua tablets combined with western medicine on serum and secretion inflammatory factors in patients with acute secretory otitis media caused by swimming. The 140 patients who had been treated in our hospital for acute secretory otitis media were selected as research objects, all (...) compared with the control group, and the intergroup difference was of statistical significance, p<0.05; The overall treatment efficiency of the research group was significantly higher than that of the control group, with statistical significance, p<0.05. For patients with acute secretory otitis media caused by swimming, the compound shuanghua tablets combined with Western medicine treatment can not only actively reduce various inflammatory factors in middle ear effusion, but also significantly improve

2019 Pakistan journal of pharmaceutical sciences Controlled trial quality: uncertain

14. Direction-Changing Positional Nystagmus in Acute Otitis Media Complicated by Serous Labyrinthitis: New Insights into Positional Nystagmus. (Abstract)

Direction-Changing Positional Nystagmus in Acute Otitis Media Complicated by Serous Labyrinthitis: New Insights into Positional Nystagmus. To demonstrate characteristic nystagmus findings in acute otitis media (AOM) complicated by serous labyrinthitis and discuss the mechanism of direction-changing positional nystagmus (DCPN) in this condition.A patient with AOM complicated by serous labyrinthitis on the left side.Video nystagmography and 3D fluid attenuated inversion recovery (FLAIR) magnetic (...) resonance imaging (MRI).Characterize positional nystagmus in a head-roll test observing the change of nystagmus direction in process of time and compare findings of temporal bone 3D FLAIR MRI.A previously healthy 50-year-old man who complained of acute otalgia, hearing loss, and vertigo was diagnosed with AOM complicated by serous labyrinthitis on the left side. A head-roll test performed on the day when vertigo developed showed persistent geotropic DCPN. While pre- and postcontrast T1-weighted MRI

2019 Otology and Neurotology

15. Anaesthetic-analgesic ear drops to reduce antibiotic consumption in children with acute otitis media: the CEDAR RCT. Full Text available with Trip Pro

Anaesthetic-analgesic ear drops to reduce antibiotic consumption in children with acute otitis media: the CEDAR RCT. Acute otitis media (AOM) is a common reason for primary care consultations and antibiotic prescribing in children. Options for improved pain control may influence antibiotic prescribing and consumption.The Children's Ear Pain Study (CEDAR) investigated whether or not providing anaesthetic-analgesic ear drops reduced antibiotic consumption in children with AOM. Secondary (...) by combining a no or delayed antibiotic prescribing strategy with anaesthetic-analgesic ear drops. Whether or not the active drops relieved ear pain was not established.The observed reduction in antibiotic consumption following the prescription of ear drops requires replication in a larger study. Future work should establish if the effect of ear drops is due to pain relief.Current Controlled Trials ISRCTN09599764.This project was funded by the National Institute for Health Research (NIHR) Health Technology

2019 Health technology assessment (Winchester, England) Controlled trial quality: predicted high

16. Tympanostomy Tubes in Children with Otitis Media

and recurrent acute otitis media, summarize the frequency of adverse effects or complications associated with TT placement, synthesize information on the necessity for water precautions in children with TT, and assess the effectiveness of available treatments for otorrhea in children who have TT. Data sources. We conducted literature searches in MEDLINE ® , the Cochrane Central Trials Registry and Cochrane Database of Systematic Reviews, Embase ® , and CINAHL ® . Additionally, we perused the reference lists (...) palate or Down syndrome. Children with recurrent acute otitis media may have fewer episodes after TT placement, but the evidence base is limited and there is insufficient evidence to assess the impact on quality of life. The benefits of TT placement must be weighed against a variety of adverse events. There is no compelling evidence for children with TT to avoid swimming or bathing, or use earplugs or bathing caps. Should otorrhea develop, the evidence supports topical treatment rather than oral

2017 Effective Health Care Program (AHRQ)

17. Supplemental Project to Assess the Transparency of Reporting Requirements: Tympanostomy Tubes in Children With Otitis Media

of or residing in the same household as another participan RCT: Randomized controlled trial; AOM: acute otitis media; DOB: date of birth; NR: not reported; OME: otitis media with effusion; MEE: middle ear effusion; TTP: tympanostomy tube placement Arm Details Table 3 shows the arm details information for the studies with both a registry record and papers. Again, the agreement between the record and the data extracted from the papers was, in general, well matched. One record, ISRCTN35793977, indicated a third (...) effusion persisted ISRCTN35793977 TT and adenoidectomy TT Observation and medical management MRC Multicentre Otitis Media Study Group 2012 (TARGET) 22443163 TT and adenoidectomy TT ISRCTN57358603 Early TT Watchful waiting for a period of nine months with analysis by intention to treat Maw 1999 10459904 TT within 6 weeks Watchful waiting for 9 months then TT if needed NCT00629694 TT and adenoidectomy Myringotomy and adenoidectomy Vlastos 2011 21205368 TT and adenoidectomy Myringotomy and adenoidectomy

2017 Effective Health Care Program (AHRQ)

18. Acute Otitis Media Observation

Acute Otitis Media Observation Acute Otitis Media Observation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Acute Otitis Media (...) Observation Acute Otitis Media Observation Aka: Acute Otitis Media Observation , Observation Protocol for Acute Otitis Media Management From Related Chapters II. Background Most cases resolve without antibiotics Consider symptomatic treatment Antibiotics are more likely to cause side effects than speed symptomatic improvement for one not to have at 2-7 days: 20 for one to have adverse antibiotic effects ( , , rash): 14 (2013) Presc Lett 20(4): 20-21 III. Indications (with Informed Consent of parents) Age

2018 FP Notebook

19. Current management and referral patterns of pediatricians for acute otitis media. (Abstract)

Current management and referral patterns of pediatricians for acute otitis media. The American Academy of Pediatrics (AAP) has published an evidence-based clinical practice guideline for the management of acute otitis media (AOM), most recently revised in 2013. This study aims to assess current practice patterns and how they compare to the published guideline.An 11 question survey addressing topics included in the 2013 AAP AOM guidelines was mailed to 196 practicing pediatricians. Statistical (...) analysis was performed using Chi-square and ANOVA testing.76 (38%) completed surveys were returned. 75% of respondents were in group practice (non-academic) and 83% were in practice 11 years or more. 93% were members of the AAP. 46% of responding pediatricians use pneumatic otoscopy and/or tympanometry at least once a day to aid in the diagnosis of AOM, while 28% never do. 15% of respondents would choose close observation over antibiotics in a child under the age of 2 years with unilateral non-severe

2018 International Journal of Pediatric Otorhinolaryngology

20. Changes Over Time in Nasopharyngeal Colonization in Children Under 2 Years of Age at the Time of Diagnosis of Acute Otitis Media (1999–2014) Full Text available with Trip Pro

Changes Over Time in Nasopharyngeal Colonization in Children Under 2 Years of Age at the Time of Diagnosis of Acute Otitis Media (1999–2014) In children with acute otitis media (AOM), a decrease in nasopharyngeal (NP) colonization with vaccine serotypes of Streptococcus pneumoniae has been noted since the introduction of pneumococcal conjugate vaccines (PCVs). The purpose of this study is to describe corresponding changes in colonization with Haemophilus influenzae.In 4 separate studies, we (...) was observed, suggesting an impact of PCVs, the most recent prevalence rates of NP colonization with H. influenzae and ß-lactamase production were like those observed before universal administration of PCV7. This knowledge is critical to guide appropriate treatment recommendations for children with AOM.

2018 Open forum infectious diseases

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