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Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia
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Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia

Published on: May 6, 2014

Management of otitis media: 2000 and beyond

J O Klein1

  • 1Maxwell Finland Laboratory for Infectious Diseases, Boston Medical Center, MA 02118, USA. jerome.klein@bmc.org

The Pediatric Infectious Disease Journal
|April 27, 2000
PubMed
Abstract

Insights

New strategies are needed to combat acute otitis media (AOM), addressing antibiotic resistance and improving diagnostic accuracy. Developing novel antimicrobial drugs and vaccines is crucial for effective AOM prevention and treatment.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Microbiology

Background:

  • Antibiotic resistance poses a significant threat to the efficacy of current antimicrobial agents for acute otitis media (AOM).
  • The development of new antimicrobial drugs and vaccines is essential to address evolving bacterial resistance and reduce AOM incidence.
  • Viral pathogens, particularly respiratory syncytial virus, are frequently associated with AOM, highlighting the need for effective antiviral strategies.

Purpose of the Study:

  • To discuss current problems and potential solutions for acute otitis media (AOM).
  • To explore the impact of antibiotic resistance on AOM treatment and prevention.
  • To evaluate the role of new vaccines and diagnostic techniques in managing AOM.

Main Methods:

  • Adjunctive diagnostic techniques like tympanometry and acoustic reflectometry aid in identifying middle ear effusion.
  • Evaluation of a heptavalent pneumococcal polysaccharide vaccine demonstrated a reduction in severe and recurrent AOM.
  • Laser myringotomy has been used, but randomized trials are lacking.

Main Results:

  • The pneumococcal conjugate vaccine showed a reduction in the overall burden of severe and recurrent AOM.
  • New antibacterial drug classes, including ketolides, oxazolodinones, and quinolones, are under consideration.
  • Antiviral drugs are available for influenza and respiratory syncytial virus infections.

Conclusions:

  • Parental influence on antibiotic prescribing necessitates education on appropriate usage.
  • Accurate clinical and microbiologic diagnosis is paramount for effective AOM management.
  • Further research with rigorous scientific design is needed to assess alternative therapies for AOM.

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