Symptoms and otoscopic signs in bilateral and unilateral acute otitis media

Bilateral acute otitis media (AOM) is considered more severe than unilateral AOM, and several guidelines recommend more active treatment and/or follow-up of bilateral AOM. We studied whether bilateral AOM is a clinically more severe illness than unilateral AOM by comparing symptoms and otoscopic sig...

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Bibliographic Details
Published in:Pediatrics (Evanston) 2013-02, Vol.131 (2), p.e398-e405
Main Authors: Uitti, Johanna M, Laine, Miia K, Tähtinen, Paula A, Ruuskanen, Olli, Ruohola, Aino
Format: Article
Language:English
Subjects:
Acute Disease
Acute otitis media
Age Factors
Care and treatment
Causes of
Child, Preschool
Children
Children & youth
Comorbidity
Conjunctivitis - epidemiology
Cross-Sectional Studies
Diagnosis
Ear diseases
Female
Fever - epidemiology
Health aspects
Hemorrhage
Humans
Infant
Male
Medical care
Medical care (Private)
Medical treatment
Membranes
Otitis Media with Effusion - diagnosis
Otitis Media with Effusion - epidemiology
Otitis Media, Suppurative - diagnosis
Otitis Media, Suppurative - epidemiology
Otoscopy
Pediatrics
Prognosis
Signs and symptoms
Symptom Assessment
Symptomatology
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Summary:Bilateral acute otitis media (AOM) is considered more severe than unilateral AOM, and several guidelines recommend more active treatment and/or follow-up of bilateral AOM. We studied whether bilateral AOM is a clinically more severe illness than unilateral AOM by comparing symptoms and otoscopic signs between bilateral and unilateral AOM. Two hundred thirty-two children aged 6 to 35 months diagnosed with AOM were eligible. We surveyed the symptoms with a structured questionnaire and recorded the otoscopic signs systematically. Ninety-eight children had bilateral and 134 children unilateral AOM. Children with bilateral AOM were more often
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.2012-1188