title: An overview of acute otitis media in Australian Aboriginal children living in remote communities.
abstract: Australian Aboriginal children experience early, persistent and severe middle ear infections. We conducted a review of the medical literature that addressed acute otitis media (AOM) in Australian Aboriginal children. Comparisons were made with the recent guidelines on the diagnosis and management of AOM prepared by the American Academies of Pediatrics and Family Physicians (AAP & AAFP 2004). Otitis media in Aboriginal children living in remote communities begins in the first 3 months of life following early bacterial colonisation. Young children with persistent signs of suppurative disease (bulging of the tympanic membrane or middle ear discharge) are probably most at risk of developing chronic suppurative otitis media.
authors.affiliation: Menzies School of Health Research, Darwin, Northern Territory, Australia. peterm@menzies.edu.au
authors.forename: P S
authors.initials: PS
authors.lastname: Morris
authors.forename: A J
authors.initials: AJ
authors.lastname: Leach
authors.forename: S
authors.initials: S
authors.lastname: Halpin
authors.forename: G
authors.initials: G
authors.lastname: Mellon
authors.forename: G
authors.initials: G
authors.lastname: Gadil
authors.forename: C
authors.initials: C
authors.lastname: Wigger
authors.forename: G
authors.initials: G
authors.lastname: Mackenzie
authors.forename: C
authors.initials: C
authors.lastname: Wilson
authors.forename: E
authors.initials: E
authors.lastname: Gadil
authors.forename: P
authors.initials: P
authors.lastname: Torzillo
mesh_terms: D001315:Australia / Q000453:epidemiology; D002675:Child, Preschool; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D007223:Infant; D008297:Male; D010033:Otitis Media / Q000175:diagnosis / Q000453:epidemiology / Q000208:ethnology* / Q000628:therapy; D010035:Otitis Media, Suppurative / Q000453:epidemiology / Q000208:ethnology; D022242:Pneumococcal Vaccines / Q000627:therapeutic use; D012424:Rural Population; D018058:Tympanic Membrane Perforation / Q000453:epidemiology / Q000208:ethnology
chemical_list: C414006:23-valent pneumococcal capsular polysaccharide vaccine; D022242:Pneumococcal Vaccines