Latest & greatest articles for otitis media

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Top results for otitis media

61. Otitis Media

Otitis Media 1 UMHS Otitis Media Guideline, April 2013 Quality Department Guidelines for Clinical Care Ambulatory Otitis Media Guideline Team Team leader Heather L. Burrows, MD, PhD General Pediatrics Team members R. Alexander Blackwood, MD, PhD Pediatric Infectious Disease James M. Cooke, MD Family Medicine R. Van Harrison, PhD Medical Education Kathryn M. Harmes, MD Family Medicine Peter P Passamani, MD Pediatric Otolaryngology Consultant Kristin C Klein, PharmD UMH Pharmacy Services Updated (...) procedure or treatment must be made by the physician in light of the circumstances presented by the patient. Otitis Media Patient population: Pediatric patients (>2 months old) and adults Objectives: (1) Limit acute symptoms and suppurative complications caused by acute otitis media. (2) Maximize language development and minimize long term damage to middle ear structure associated with otitis media with effusion. (3) Limit complications of antibiotic therapy including the development of antibiotic

2013 University of Michigan Health System

62. Mixed evidence for zinc supplements preventing otitis media in young children

Mixed evidence for zinc supplements preventing otitis media in young children PEARLS Practical Evidence About Real Life Situations PEARLS are succinct summaries of Cochrane Systematic Reviews for primary care practitioners. They Mixed evidence for zinc supplements preventing otitis media in young children Clinical question How effective are zinc supplements in preventing otitis media in children living in low and middle-income countries? Bottom line Evidence on whether zinc supplementation can (...) reduce the incidence of otitis media in healthy children under the age of five years living in low and middle-income countries is mixed. Three of the 5 trials assessing this outcome demonstrated no significant effect, with point estimates close to no effect; another trial suggested a possible benefit of zinc, but the findings were difficult to interpret, and another trial appeared to demonstrate a significant benefit. The trial demonstrating a benefit of zinc included only children aged 60 days to 12

2012 Cochrane PEARLS

63. Xylitol for preventing acute otitis media in children up to 12 years of age. (PubMed)

Xylitol for preventing acute otitis media in children up to 12 years of age. Acute otitis media (AOM) is the most common bacterial infection among young children in the United States with limitations and concerns over its treatment with antibiotics and surgery. Therefore, effective preventative measures are attractive. A potential preventative measure is xylitol, a natural sugar substitute that reduces the risk for dental decay. Xylitol can reduce the adherence of Streptococcus pneumoniae (S

2011 Cochrane

64. No evidence adenoidectomy benefits acute otitis media but it can benefit glue ear

No evidence adenoidectomy benefits acute otitis media but it can benefit glue ear PEARLS Practical Evidence About Real Life Situations PEARLS are succinct summaries of Cochrane Systematic Reviews for primary care practitioners. They No evidence adenoidectomy benefits acute otitis media but it can benefit glue ear Clinical question How effective is adenoidectomy for acute otitis media (AOM) and chronic otitis media with effusion ("glue ear") in children? Bottom line Compared with non-surgical (...) for this indication is not warranted. The effects of adenoidectomy on changes to the tympanic membrane or cholesteatoma are unknown. Context Both acute and chronic middle ear infections (AOM and glue ear) are very common in children. Adenoidectomy is often performed for these conditions. Cochrane Systematic Review van den Aardweg MTA et al. Adenoidectomy for otitis media in children. Cochrane Reviews 2010, Issue 1. Article No. CD007810. DOI: 10.1002/14651858.CD007810.pub2. This review contains 14 studies

2011 Cochrane PEARLS

65. WITHDRAWN: Decongestants and antihistamines for acute otitis media in children. (PubMed)

WITHDRAWN: Decongestants and antihistamines for acute otitis media in children. Acute otitis media (AOM) is a common and important source of morbidity in children, although the majority of cases resolve spontaneously. While frequently recommended, decongestant and antihistamine therapy is of unclear benefit.To determine the efficacy of decongestant and antihistamine therapy in children with AOM on outcomes of AOM resolution, symptom resolution, medication side effects, and complications

2011 Cochrane

66. Treatment of acute otitis media in children under 2 years of age. (PubMed)

Treatment of acute otitis media in children under 2 years of age. Recommendations vary regarding immediate antimicrobial treatment versus watchful waiting for children younger than 2 years of age with acute otitis media.We randomly assigned 291 children 6 to 23 months of age, with acute otitis media diagnosed with the use of stringent criteria, to receive amoxicillin-clavulanate or placebo for 10 days. We measured symptomatic response and rates of clinical failure.Among the children who (...) who received placebo. Diarrhea and diaper-area dermatitis were more common among children who received amoxicillin-clavulanate. There were no significant changes in either group in the rates of nasopharyngeal colonization with nonsusceptible Streptococcus pneumoniae.Among children 6 to 23 months of age with acute otitis media, treatment with amoxicillin-clavulanate for 10 days tended to reduce the time to resolution of symptoms and reduced the overall symptom burden and the rate of persistent

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2011 NEJM

67. A placebo-controlled trial of antimicrobial treatment for acute otitis media. (PubMed)

A placebo-controlled trial of antimicrobial treatment for acute otitis media. The efficacy of antimicrobial treatment in children with acute otitis media remains controversial.In this randomized, double-blind trial, children 6 to 35 months of age with acute otitis media, diagnosed with the use of strict criteria, received amoxicillin-clavulanate (161 children) or placebo (158 children) for 7 days. The primary outcome was the time to treatment failure from the first dose until the end (...) significantly more common in the amoxicillin-clavulanate group than in the placebo group. A total of 47.8% of the children in the amoxicillin-clavulanate group had diarrhea, as compared with 26.6% in the placebo group (P<0.001); 8.7% and 3.2% of the children in the respective groups had eczema (P=0.04).Children with acute otitis media benefit from antimicrobial treatment as compared with placebo, although they have more side effects. Future studies should identify patients who may derive the greatest

2011 NEJM

68. Cohort study: About half of children under age 3 whose parents suspected acute otitis media have the diagnosis; restless sleep, ear rubbing and fever are not predictive

Cohort study: About half of children under age 3 whose parents suspected acute otitis media have the diagnosis; restless sleep, ear rubbing and fever are not predictive About half of children under age 3 whose parents suspected acute otitis media have the diagnosis; restless sleep, ear rubbing and fever are not predictive | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any (...) otitis media have the diagnosis; restless sleep, ear rubbing and fever are not predictive Article Text Child health Cohort study About half of children under age 3 whose parents suspected acute otitis media have the diagnosis; restless sleep, ear rubbing and fever are not predictive Diane Montgomery Statistics from Altmetric.com Commentary on: Laine MK , Tähtinen PA , Ruuskanen O , et al . Symptoms or symptom-based scores cannot predict acute otitis media at otitis-prone age . Acute otitis media (AOM

2011 Evidence-Based Nursing

69. Systematic review: Acute otitis media: antibiotics are moderately effective and mildly increase the risk of adverse effects; prevalence of different causative bacteria changed after introduction of the heptavalent pneumococcal conjugate vaccine

Systematic review: Acute otitis media: antibiotics are moderately effective and mildly increase the risk of adverse effects; prevalence of different causative bacteria changed after introduction of the heptavalent pneumococcal conjugate vaccine Acute otitis media: antibiotics are moderately effective and mildly increase the risk of adverse effects; prevalence of different causative bacteria changed after introduction of the heptavalent pneumococcal conjugate vaccine | BMJ Evidence-Based (...) of institutional accounts Username * Password * your user name or password? You are here Acute otitis media: antibiotics are moderately effective and mildly increase the risk of adverse effects; prevalence of different causative bacteria changed after introduction of the heptavalent pneumococcal conjugate vaccine Article Text Therapeutics Systematic review Acute otitis media: antibiotics are moderately effective and mildly increase the risk of adverse effects; prevalence of different causative bacteria changed

2011 Evidence-Based Medicine (Requires free registration)

70. Randomised controlled trial: Amoxicillin-clavulanate improves symptoms, reduces treatment failure in select children with acute otitis media and increases risk of diarrhoea

Randomised controlled trial: Amoxicillin-clavulanate improves symptoms, reduces treatment failure in select children with acute otitis media and increases risk of diarrhoea Amoxicillin-clavulanate improves symptoms, reduces treatment failure in select children with acute otitis media and increases risk of diarrhoea | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time (...) children with acute otitis media and increases risk of diarrhoea Article Text Therapeutics Randomised controlled trial Amoxicillin-clavulanate improves symptoms, reduces treatment failure in select children with acute otitis media and increases risk of diarrhoea Andrea Marmor 1 , Thomas B Newman 1 Statistics from Altmetric.com Commentary on: Tähtinen PA , Laine MK , Huovinen P , et al . A placebo-controlled trial of antimicrobial treatment for acute otitis media . Commentary on: Hoberman A , Paradise

2011 Evidence-Based Medicine (Requires free registration)

71. Diagnosis, Microbial Epidemiology, and Antibiotic Treatment of Acute Otitis Media in Children: A Systematic Review. (PubMed)

Diagnosis, Microbial Epidemiology, and Antibiotic Treatment of Acute Otitis Media in Children: A Systematic Review. Acute otitis media (AOM) is the most common condition for which antibiotics are prescribed for US children; however, wide variation exists in diagnosis and treatment.To perform a systematic review on AOM diagnosis, treatment, and the association of heptavalent pneumococcal conjugate vaccine (PCV7) use with AOM microbiology.PubMed, Cochrane Databases, and Web of Science, searched

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2010 JAMA

72. Management of acute otitis media: update

Management of acute otitis media: update Management of acute otitis media: update Management of acute otitis media: update Shekelle PG, Takata G, Newberry SJ, Coker T, Limbos M, Chan LS, Timmer M, Suttorp M, Carter J, Motala A, Valentine D, Johnsen B, Shanman R Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Shekelle PG, Takata G (...) , Newberry SJ, Coker T, Limbos M, Chan LS, Timmer M, Suttorp M, Carter J, Motala A, Valentine D, Johnsen B, Shanman R. Management of acute otitis media: update. Rockville: Agency for Healthcare Research and Quality (AHRQ). Evidence Report/Technology Assessment No. 198. 2010 Authors' conclusions Few studies were found that examined the accuracy and precision of the diagnosis of AOM. Since PCV7's introduction, AOM microbiology has shifted significantly, with Streptococcus pneumoniae becoming less prevalent

2010 Health Technology Assessment (HTA) Database.

73. Management of acute otitis media: update

Management of acute otitis media: update Management of acute otitis media: update Management of acute otitis media: update Shekelle PG, Takata G, Newberry SJ, Coker T, Limbos MA, Chan LS, Timmer MM, Suttorp MJ, Carter J, Motala A, Valentine D, Johnsen B, Shanman R CRD summary The authors concluded that immediate antibiotic therapy was more effective than placebo for treating uncomplicated acute otitis media. Comparison of different antibiotic treatments was inconclusive for recurrent otitis (...) media. Further research is needed. The authors' conclusions reflected the evidence, but given significant heterogeneity and concerns regarding the analysis, their conclusions should be interpreted with caution. Authors' objectives To update a 2001 review to assess the effectiveness of different treatments for uncomplicated acute otitis media in average risk children and children with recurrent or persistent acute otitis media. Searching PubMed, Cochrane Central Register of Controlled Trials (CENTRAL

2010 DARE.

74. Cohort study: About half of children under age 3 whose parents suspected acute otitis media do not have the diagnosis; restless sleep, ear rubbing, crying, irritability and fever are not predictive

Cohort study: About half of children under age 3 whose parents suspected acute otitis media do not have the diagnosis; restless sleep, ear rubbing, crying, irritability and fever are not predictive About half of children under age 3 whose parents suspected acute otitis media do not have the diagnosis; restless sleep, ear rubbing, crying, irritability and fever are not predictive | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you (...) half of children under age 3 whose parents suspected acute otitis media do not have the diagnosis; restless sleep, ear rubbing, crying, irritability and fever are not predictive Article Text Prognosis Cohort study About half of children under age 3 whose parents suspected acute otitis media do not have the diagnosis; restless sleep, ear rubbing, crying, irritability and fever are not predictive Eugene Leibovitz Statistics from Altmetric.com Commentary on: Laine MK , Tähtinen PA , Ruuskanen O , et

2010 Evidence-Based Medicine (Requires free registration)

75. Otitis Media - Acute Otitis Media & Otitis Media with Effusion

Otitis Media - Acute Otitis Media & Otitis Media with Effusion Otitis Media: Acute Otitis Media (AOM) and Otitis Media with Effusion (OME) - Province of British Columbia theme_3_collection theme_3_frontend theme_3_collection theme_3_frontend Birth, Adoption, Death, Marriage & Divorce theme_1_collection theme_1_frontend theme_1_collection theme_1_frontend British Columbians & Our Governments theme_data_collection data_frontend theme_data_collection data_frontend Data theme_5_collection (...) theme_10_frontend theme_10_collection theme_10_frontend Sports, Recreation, Arts & Culture theme_8_collection theme_8_frontend theme_8_collection theme_8_frontend Taxes & Tax Credits theme_14_collection theme_14_frontend theme_14_collection theme_14_frontend Tourism & Immigration Search default_collection default_frontend Section Navigation Otitis Media: Acute Otitis Media (AOM) and Otitis Media with Effusion (OME) Effective Date: January 1, 2010 Recommendations and Topics Scope This guideline applies

2010 Clinical Practice Guidelines and Protocols in British Columbia

76. Antibiotics for Otitis Media

Antibiotics for Otitis Media Antibiotics for Otitis Media – TheNNTTheNNT Antibiotics for Acute Otitis Media No benefit found IMPORTANT! In Summary, for those who took the antibiotics: Benefits in NNT 100% saw no benefit (reduction of serious complications: mastoiditis, meningitis, hearing loss) 100% saw no benefit (reduced late recurrence) 100% saw no benefit (pain reduction after 24 hours) 6% had reduced pain (after 2-7 days) None had fewer serious complications None had less disease (...) recurrence None had less pain after 24 hours 1 in 16 were helped (pain reduction after 2-7 days) Harms in NNT 11% were harmed (diarrhea) 1 in 9 were harmed (diarrhea) View As: NNT % Source: Efficacy Endpoints: Serious complications (mastoiditis, meningitis, hearing loss), disease recurrence, pain Harm Endpoints: Adverse medication effects Narrative: This review included 15 trials (n = 4199 children) of which 10 (n = 2928) compared antibiotics with placebo in patients with acute otitis media. Amoxicillin

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2010 theNNT

77. Efficacy of short course (<4 days) of antibiotics for treatment of acute otitis media in children: a systematic review of randomized controlled trials

Efficacy of short course (<4 days) of antibiotics for treatment of acute otitis media in children: a systematic review of randomized controlled trials Efficacy of short course (<4 days) of antibiotics for treatment of acute otitis media in children: a systematic review of randomized controlled trials Efficacy of short course (<4 days) of antibiotics for treatment of acute otitis media in children: a systematic review of randomized controlled trials Gulani A, Sachdev HP, Qazi SA CRD summary (...) This review found no evidence of increased risk of treatment failure with short-course (<4 days) compared with long-course (≥4 days) antibiotics for acute otitis media in children. The authors' conclusions are likely to be reliable, but should be interpreted with some caution due to a lack of detail on searches, quality assessment and individual study features. Authors' objectives To determine the efficacy of a short course of antibiotics (less than four days) compared to a longer course (four or more

2010 DARE.

78. Increased clinical failures when treating acute otitis media with macrolides: a meta-analysis

Increased clinical failures when treating acute otitis media with macrolides: a meta-analysis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2010 DARE.

79. Cost-utility analysis of topical intranasal steroids for otitis media with effusion based on evidence from the GNOME trial

Cost-utility analysis of topical intranasal steroids for otitis media with effusion based on evidence from the GNOME trial Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2010 NHS Economic Evaluation Database.

80. A double-blind randomised placebo controlled trial of topical intranasal corticosteroids in 4- to11-year-old children with persistent bilateral otitis media with effusion in primary care

A double-blind randomised placebo controlled trial of topical intranasal corticosteroids in 4- to11-year-old children with persistent bilateral otitis media with effusion in primary care A double-blind randomised placebo controlled trial of topical intranasal corticosteroids in 4- to11-year-old children with persistent bilateral otitis media with effusion in primary care Journals Library An error has occurred in processing the XML document An error occurred retrieving content to display, please (...) try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} Study found that the use of topical intranasal corticosteroids is very unlikely to be a clinically effective treatment for otitis media with effusion in children in the primary care

2009 NIHR HTA programme