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

Aural toilet (ear cleaning) for chronic suppurative otitis media. Chronic suppurative otitis media (CSOM), sometimes referred to as chronic otitis media (COM), is a chronic inflammation and often polymicrobial infection (involving more than one micro-organism) of the middle ear and mastoid cavity, characterised by ear discharge (otorrhoea) through a perforated tympanic membrane. The predominant symptoms of CSOM are ear discharge and hearing loss. Aural toileting is a term describing a number

Early Childhood Antibiotic Treatment for Otitis Media and Other Respiratory Tract Infections Is Associated With Risk of Type 1 Diabetes: A Nationwide Register-Based Study With Sibling Analysis Early Childhood Antibiotic Treatment for Otitis Media and Other Respiratory Tract Infections Is Associated With Risk of Type 1 Diabetes: A Nationwide Register-Based Study With Sibling Analysis - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set (...) : Send at most: Send even when there aren't any new results Optional text in email: Save Cancel Create a file for external citation management software Create file Cancel Actions Cite Share Permalink Copy Page navigation Diabetes Care Actions . 2020 Mar 4;dc191162. doi: 10.2337/dc19-1162. Online ahead of print. Early Childhood Antibiotic Treatment for Otitis Media and Other Respiratory Tract Infections Is Associated With Risk of Type 1 Diabetes: A Nationwide Register-Based Study With Sibling Analysis

Antibiotics versus topical antiseptics for chronic suppurative otitis media. Chronic suppurative otitis media (CSOM), sometimes referred to as chronic otitis media (COM), is a chronic inflammation and infection of the middle ear and mastoid cavity, characterised by ear discharge (otorrhoea) through a perforated tympanic membrane. The predominant symptoms of CSOM are ear discharge and hearing loss. Antibiotics and antiseptics kill or inhibit the micro-organisms that may be responsible (...) for the infection. Antibiotics can be applied topically or administered systemically via the oral or injection route. Antiseptics are always directly applied to the ear (topically).To assess the effectiveness of antibiotics versus antiseptics for people with chronic suppurative otitis media (CSOM).The Cochrane ENT Information Specialist searched the Cochrane ENT Register; Central Register of Controlled Trials (CENTRAL; 2019, Issue 4, via the Cochrane Register of Studies); Ovid MEDLINE; Ovid Embase; CINAHL; Web

Topical antiseptics for chronic suppurative otitis media. Chronic suppurative otitis media (CSOM), sometimes referred to as chronic otitis media (COM), is a chronic inflammation and infection of the middle ear and mastoid cavity, characterised by ear discharge (otorrhoea) through a perforated tympanic membrane. The predominant symptoms of CSOM are ear discharge and hearing loss. Topical antiseptics, one of the possible treatments for CSOM, inhibit the micro-organisms that may be responsible (...) for people with chronic suppurative otitis media.The Cochrane ENT Information Specialist searched the Cochrane ENT Register; Central Register of Controlled Trials (CENTRAL; 2019, Issue 4, via the Cochrane Register of Studies); Ovid MEDLINE; Ovid Embase; CINAHL; Web of Science; ClinicalTrials.gov; ICTRP and additional sources for published and unpublished trials. The date of the search was 1 April 2019.We included randomised controlled trials (RCTs) with at least a one-week follow-up involving patients

Topical antibiotics for chronic suppurative otitis media. Chronic suppurative otitis media (CSOM), sometimes referred to as chronic otitis media (COM), is a chronic inflammation and often polymicrobial infection (involving more than one micro-organism) of the middle ear and mastoid cavity, characterised by ear discharge (otorrhoea) through a perforated tympanic membrane. The predominant symptoms of CSOM are ear discharge and hearing loss. Topical antibiotics, the most common treatment for CSOM

Otitis media with effusion: How should I assess a child for suspected otitis media with effusion (OME)? Assessment | Diagnosis | Otitis media with effusion | CKS | NICE Search CKS… Menu Assessment Otitis media with effusion: How should I assess a child for suspected otitis media with effusion (OME)? Last revised in October 2016 How should I assess a child for suspected otitis media with effusion (OME)? Take a detailed history , and ask about: Hearing loss — this is usually the presenting (...) of the hearing loss and the impact on the child’s life and developmental status by asking about the following: Fluctuations in hearing. Lack of concentration or attention, or being socially withdrawn. Listening skills and progress at school or nursery. Speech or language development. Balance problems and clumsiness. Examine the ears with an otoscope . A normal-looking tympanic membrane does not exclude otitis media with effusion (OME). There are usually no signs of inflammation or discharge on examination

Otitis media with effusion Otitis media with effusion | Topics A to Z | CKS | NICE Search CKS… Menu Otitis media with effusion Otitis media with effusion Last revised in October 2016 Otitis media with effusion (OME), also known as 'glue ear', is characterized by a collection of fluid within the middle ear space Diagnosis Management Background information Otitis media with effusion: Summary Otitis media with effusion (OME), also known as 'glue ear', is characterized by a collection of fluid (...) 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

Otitis media with effusion: Scenario: Management Scenario: Management | Management | Otitis media with effusion | CKS | NICE Search CKS… Menu Scenario: Management Otitis media with effusion: Scenario: Management Last revised in October 2016 Scenario: Management How should I manage children with otitis media with effusion (OME)? Active observation over 6–12 weeks is appropriate for most children, as spontaneous resolution is common. During this period, it is essential to re-evaluate signs (...) of any confirmed hearing loss and suspicion of a delay in the child reaching developmental milestones. For more information, see the section . If signs and symptoms persist after the period of observation, refer the child to an ENT specialist. Children with Down's syndrome, or cleft palate, who are suspected to have otitis media with effusion (OME) require immediate referral for specialist assessment. Note: The following treatments are not recommended for treating OME, as there is no evidence

Otitis media - chronic suppurative: When should I suspect chronic suppurative otitis media? Diagnosis | Diagnosis | Otitis media - chronic suppurative | CKS | NICE Search CKS… Menu Diagnosis Otitis media - chronic suppurative: When should I suspect chronic suppurative otitis media? Last revised in September 2017 When should I suspect chronic suppurative otitis media? Suspect chronic suppurative otitis media (CSOM) in a person with: Ear discharge persisting for more than 2 weeks, without ear (...) pain or fever. Hearing loss in the affected ear. A history of acute otitis media (AOM), ear trauma, or glue ear and grommet insertion. See the CKS topics on and for more information. A history of allergy, atopy, and/or upper respiratory tract infection. Tinnitus and/or a sensation of pressure in the ear may also be present. Examination of the ear may reveal tympanic membrane perforation and/or middle ear inflammation. Note: symptoms that can indicate serious complications (such as mastoiditis

Otitis media - chronic suppurative: What else might it be? Differential diagnosis | Diagnosis | Otitis media - chronic suppurative | CKS | NICE Search CKS… Menu Differential diagnosis Otitis media - chronic suppurative: What else might it be? Last revised in September 2017 What else might it be? The differential diagnoses of chronic suppurative otitis media (CSOM) include: Otitis externa — suggested by ear pain, itching, discharge, and reduced hearing. Examination may reveal an inflamed (...) , eczematous canal without a perforation. Can also be concurrent with CSOM. See the CKS topic on for more information. Acute suppurative otitis media (ASOM) — suggested by ear pain, fever, vomiting in children, reduced hearing, and discharge if the eardrum perforates (or examination may reveal pus in the middle ear). Most cases resolve spontaneously within a few days. See the CKS topic on for more information. Otitis media with effusion (OME) — suggested by fluid in the middle ear without acute signs

Otitis media with effusion: Should I screen children for otitis media with effusion (OME)? Screening | Diagnosis | Otitis media with effusion | CKS | NICE Search CKS… Menu Screening Otitis media with effusion: Should I screen children for otitis media with effusion (OME)? Last revised in October 2016 Should I screen children for otitis media with effusion (OME)? There is no need to screen children for otitis media with effusion (OME) if they are not at risk of OME, or they have no symptoms (...) . However, children with Down’s syndrome or cleft palate should be regularly assessed (every 3–6 months) for OME by an ear, nose and throat (ENT) specialist. Basis for recommendation These recommendations are based on the National Collaborating Centre for Women's and Children's Health clinical guideline Surgical management of otitis media with effusion in children [ ], expert opinion in the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) clinical guideline Otitis media with effusion

Fluoroquinolones for the Treatment of Otitis Media: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines Fluoroquinolones for the Treatment of Otitis Media: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines | CADTH.ca Find the information you need Fluoroquinolones for the Treatment of Otitis Media: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines Fluoroquinolones for the Treatment of Otitis Media: A Review of Clinical Effectiveness (...) , Cost-Effectiveness, and Guidelines Last updated: April 24, 2019 Project Number: RC1095-000 Product Line: Research Type: Drug Report Type: Summary with Critical Appraisal Result type: Report Question What is the clinical effectiveness of fluoroquinolones for the treatment of otitis media in patients unable to take beta-lactams antibiotics? What is the cost-effectiveness of fluoroquinolones for the treatment of otitis media in patients unable to take beta-lactams antibiotics? What are the evidence

Pneumococcal conjugate vaccines for preventing acute otitis media in children. Prior to introducing pneumococcal conjugate vaccines (PCVs), Streptococcus pneumoniae was most commonly isolated from middle ear fluid of children with acute otitis media (AOM). Reducing nasopharyngeal colonisation of this bacterium by PCVs may lead to a decline in AOM. The effects of PCVs deserve ongoing monitoring since studies from the post-PCV era report a shift in causative otopathogens towards non-vaccine

Oral steroids for resolution of otitis media with effusion in children (OSTRICH): a double-blinded, placebo-controlled randomised trial. Children with persistent hearing loss due to otitis media with effusion are commonly managed by surgical intervention. A safe, cheap, and effective medical treatment would enhance treatment options. Underpowered, poor-quality trials have found short-term benefit from oral steroids. We aimed to investigate whether a short course of oral steroids would achieve (...) acceptable hearing in children with persistent otitis media with effusion and hearing loss.In this individually randomised, parallel, double-blinded, placebo-controlled trial we recruited children aged 2-8 years with symptoms attributable to otitis media with effusion for at least 3 months and with confirmed bilateral hearing loss. Participants were recruited from 20 ear, nose, and throat (ENT), paediatric audiology, and audiovestibular medicine outpatient departments in England and Wales. Participants

Otitis media Top results for otitis media - Trip Database or use your Google+ account Find evidence fast ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4 (...) ) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Latest & greatest articles for otitis media The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you

Middle ear irrigation using a hydrodebrider decreases biofilm surface area in an animal model of otitis media To compare the safety and efficacy of manual and powered irrigation of the middle ear using saline or 1% baby shampoo to treat biofilm-forming bacterial middle ear infections.Biofilms play a major role in recalcitrant otitis media and are challenging to treat. Many therapeutic strategies have been attempted and the role of topical therapies is still being investigated. Topical

Isolated left upper eyelid ptosis with pansinusitis and contralateral otitis media in a 9-year-old boy Upper eyelid ptosis has different etiologies in children and adults. In children, the common causes include orbital cellulitis, congenital ptosis, Cranial Nerve (CN) III palsy, and Horner's syndrome. The purpose of this report is to discuss an unusual presentation of ptosis.We describe a case of a 9-year-old boy with left-sided ptosis with no apparent clinical signs of orbital or preseptal (...) infection. Magnetic resonance imaging (MRI) revealed pansinusitis and contralateral otitis media with direct extension into the superior aspect of the left orbit affecting the levator palpebrae superioris muscle.This finding on imaging disclosed the etiology of an otherwise unexplained case of upper lid ptosis.

WITHDRAWN: Grommets (ventilation tubes) for recurrent acute otitis media in children. This is an update of a Cochrane review first published in The Cochrane Library in Issue 4, 2008 and previously updated in 2011.Acute suppurative otitis media is one of the most common infectious diseases in childhood. Recurrent acute otitis media is defined for the purposes of this review as either three or more acute infections of the middle ear cleft in a six-month period, or at least four episodes in a year (...) . Strategies for managing the condition include the assessment and modification of risk factors where possible, repeated courses of antibiotics for each new infection, antibiotic prophylaxis and the insertion of ventilation tubes (grommets).To establish whether grommet insertion reduces the frequency of episodes of recurrent acute otitis media and the proportion of symptomatic children.The Cochrane Ear, Nose and Throat Disorders Group (CENTDG) Trials Search Co-ordinator searched the CENTDG Trials Register

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