Diagnosis and treatment of acute otitis media: Evaluating the evidence

被引:7
|
作者
Powers, John H.
机构
[1] NIAID, Sci Applicat Int Corp, Collaborat Clin Res Branch, NIH, Bethesda, MD 20892 USA
[2] George Washington Univ, Sch Med, Washington, DC USA
[3] Univ Maryland, Sch Med, Baltimore, MD 21201 USA
关键词
D O I
10.1016/j.idc.2007.03.013
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Acute otitis media (AOM) is one of the most common illnesses for which children in the United States receive an antimicrobial agent. Of the six recommendations offered in recent guidelines for treatment of AOM, only one, the assessment and treatment of pain with analgesics, is based on strong evidence. This article reviews the diagnosis of AOM and the accuracy of various signs and symptoms in indicating a bacterial origin, the data on the effect of antimicrobial agents compared with placebo in the treatment of AOM, and the gaps in knowledge that should be addressed by future research and clinical trials.
引用
收藏
页码:409 / +
页数:19
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