Otitis Media: The Need for a New Paradigm in Medical Education

The observation option for acute otitis media (AOM) is a strategy in which antibiotic treatment of selected children (based on diagnostic certainty, age, illness severity, and assurance of follow-up) is deferred for up to 3 days, during which time management is limited to analgesics and symptomatic...

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Bibliographic Details
Published in:Pediatrics (Evanston) 2006-10, Vol.118 (4), p.1731-1733
Main Author: Varrasso, Denia A
Format: Article
Language:English
Subjects:
Acute Disease
Anti-Bacterial Agents - therapeutic use
Antibiotics
Care and treatment
Causes of
Child
Children
Clinical Competence
Clinical medicine
Diagnosis
Diagnosis, Differential
Drug Resistance, Bacterial
Ear diseases
Ears & hearing
Education, Medical - trends
Family physicians
Health aspects
Humans
Infectious diseases
Otitis media
Otitis Media - diagnosis
Otitis Media - drug therapy
Otolaryngology
Otoscopy
Pediatrics
Pediatrics - economics
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Summary:The observation option for acute otitis media (AOM) is a strategy in which antibiotic treatment of selected children (based on diagnostic certainty, age, illness severity, and assurance of follow-up) is deferred for up to 3 days, during which time management is limited to analgesics and symptomatic relief and after which appropriate follow-up is performed.1-3 Our committee has identified many areas in which educational interventions are needed. Accurate diagnosis and appropriate treatment of AOM and OME have been brought to the forefront of educational needs with the recent release of the guidelines developed by the American Academy of Pediatrics, the American Academy of Family Physicians, and the American Academy of Otolaryngology-Head and Neck Surgery.19,20 Recommendations on a variety of issues based on the extensive review of the pertinent literature were made and included the observation option, the treatment of pain, antibiotic choices, hearing evaluations, etc.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.2005-2794