[Acute otitis media in children: an evidence-based practice guideline].
Acute Otitis media is one of the most common acute respiratory infections managed in primary care and the most common infection among in children. Diagnostic criteria, however, do not always correspond to scientific evidence. They often differ depending on individual preferences and competences. Treatment, also, is controversial. In Germany, most children attending their pediatrician or primary care physician will be prescribed antibiotics. Evidence from several randomized studies and systematic reviews suggests that routine usage of antibiotics provides only modest benefit. The benefit of prescribing antibiotics should not only be balanced against the increased likelihood of side effects such as diarrhoea but also against the potential to contribute to longterm antibiotic resistance.
Fakultät für Medizin, Universität Witten/Herdecke. koneczny@evidence.de
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N
Koneczny
S
S
Schmidt-Troschke
T
T
Berger
J
J
Isfort
B
B
Floer
H C
HC
Vollmar
M
M
Butzlaff
D000208:Acute Disease; D018663:Adrenergic Agents / Q000009:adverse effects / Q000627:therapeutic use; D000700:Analgesics / Q000009:adverse effects / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001424:Bacterial Infections / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D019317:Evidence-Based Medicine; D006634:Histamine H1 Antagonists / Q000009:adverse effects / Q000627:therapeutic use; D006801:Humans; D007223:Infant; D010033:Otitis Media / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D012307:Risk Factors; D016896:Treatment Outcome
D018663:Adrenergic Agents; D000700:Analgesics; D000900:Anti-Bacterial Agents; D006634:Histamine H1 Antagonists