The Diagnosis and Management of Acute Otitis Media
E. Tunkel,M. Rosenfeld,Xavier Sevilla,Richard H. Schwartz,Pauline A. Thomas,Mary Anne Jackson,Mark D. Joffe,Donald T. Miller,S. Lieberthal,Aaron E. Carroll,Theodore G. Ganiats +10 more
TLDR
This evidence-based clinical practice guideline is a revision of the 2004 acute otitis media (AOM) guideline from the American Academy of Pediatrics (AAP) andAmerican Academy of Family Physicians and provides recommendations to primary care clinicians for the management of children from 6 months through 12 years of age with uncomplicated AOM.Abstract:
This evidence-based clinical practice guideline is a revision of the 2004 acute otitis media (AOM) guideline from the American Academy of Pediatrics (AAP) and American Academy of Family Physicians. It provides recommendations to primary care clinicians for the management of children from 6 months through 12 years of age with uncomplicated AOM. In 2009, the AAP convened a committee composed of primary care physicians and experts in the fields of pediatrics, family practice, otolaryngology, epidemiology, infectious disease, emergency medicine, and guideline methodology. The subcommittee partnered with the Agency for Healthcare Research and Quality and the Southern California Evidence-Based Practice Center to develop a comprehensive review of the new literature related to AOM since the initial evidence report of 2000. The resulting evidence report and other sources of data were used to formulate the practice guideline recommendations. The focus of this practice guideline is the appropriate diagnosis and initial treatment of a child presenting with AOM. The guideline provides a specific, stringent definition of AOM. It addresses pain management, initial observation versus antibiotic treatment, appropriate choices of antibiotic agents, and preventive measures. It also addresses recurrent AOM, which was not included in the 2004 guideline. Decisions were made on the basis of a systematic grading of the quality of evidence and benefit-harm relationships. The practice guideline underwent comprehensive peer review before formal approval by the AAP. This clinical practice guideline is not intended as a sole source of guidance in the management of children with AOM. Rather, it is intended to assist primary care clinicians by providing a framework for clinical decision-making. It is not intended to replace clinical judgment or establish a protocol for all children with this condition. These recommendations may not provide the only appropriate approach to the management of this problem.read more
Citations
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Journal ArticleDOI
Clinical Practice Guideline Otitis Media with Effusion (Update)
Richard M. Rosenfeld,Jennifer J. Shin,Seth R. Schwartz,Robyn Coggins,Lisa Gagnon,Jesse M. Hackell,David Hoelting,Lisa L. Hunter,Ann W. Kummer,Spencer C. Payne,Dennis S. Poe,Maria C Veling,Peter M. Vila,Sandra A. Walsh,Maureen D. Corrigan +14 more
TL;DR: In this paper, the authors provide evidence-based recommendations to manage Otitis Media with effusion (OME), defined as the presence of fluid in the middle ear without signs or symptoms of acute ear infection.
Journal ArticleDOI
Clinical Practice Guideline: The Diagnosis, Management, and Prevention of Bronchiolitis
Shawn L. Ralston,Allan S. Lieberthal,H. Cody Meissner,Brian Alverson,Jill E. Baley,Anne Gadomski,David W. Johnson,Michael J. Light,Nizar Maraqa,Eneida A. Mendonça,Kieran J. Phelan,Joseph J. Zorc,Danette Stanko-Lopp,Mark Brown,Ian Nathanson,Elizabeth Rosenblum,Stephen Sayles,Sinsi Hernandez-Cancio +17 more
TL;DR: This guideline is a revision of the clinical practice guideline, “Diagnosis and Management of Bronchiolitis,” published by the American Academy of Pediatrics in 2006, and indicates level of evidence, benefit-harm relationship, and level of recommendation.
Journal ArticleDOI
Prevalence of Inappropriate Antibiotic Prescriptions Among US Ambulatory Care Visits, 2010-2011
Katherine E. Fleming-Dutra,Adam L. Hersh,Daniel J. Shapiro,Monina Bartoces,Eva A. Enns,Thomas M. File,Jonathan A. Finkelstein,Jeffrey S. Gerber,David Y. Hyun,Jeffrey A. Linder,Ruth Lynfield,David J. Margolis,Larissa S May,Daniel Merenstein,Joshua P. Metlay,Jason G. Newland,Jay F. Piccirillo,Rebecca M. Roberts,Guillermo V. Sanchez,Katie J. Suda,Ann Thomas,Teri Moser Woo,Rachel M Zetts,Lauri A. Hicks +23 more
TL;DR: In the United States in 2010-2011, there was an estimated annual antibiotic prescription rate per 1000 population of 506, but only an estimated 353 antibiotic prescriptions were likely appropriate, supporting the need for establishing a goal for outpatient antibiotic stewardship.
Book
Decision Making in Health and Medicine: Integrating Evidence and Values
M. G. Myriam Hunink,Milton C. Weinstein,Eve Wittenberg,Michael Drummond,Joseph S. Pliskin,John B. Wong,Paul Glasziou +6 more
TL;DR: This text takes a proactive, systematic and rational approach to medical decision making and provides an essential resource for trainees and researchers involved in medical decision modelling, evidence-based medicine, clinical epidemiology, comparative effectiveness, public health, health economics, and health technology assessment.
Journal ArticleDOI
Antibiotics for acute otitis media in children
TL;DR: Individual patient data meta-analysis of a subset of included trials found antibiotics to be most beneficial in children aged less than two years with bilateral AOM, or with both AOM and otorrhoea.
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