Short-term penicillin-V prophylaxis did not prevent acute otitis media in infants
M Foglé-Hansson1, P White, A Hermansson
1Department of Otorhinolaryngology, S-541 85 Central Hospital, Skövde, Sweden. margaretha.fogle-hansson@vgregion.se
Insights
Short-term penicillin V treatment during upper respiratory tract infections did not prevent recurrent acute otitis media in young children. This study found no significant difference in acute otitis media episodes between the penicillin V and placebo groups.
Area of Science:
- Pediatrics
- Infectious Diseases
- Pharmacology
Background:
- Recurrent acute otitis media (AOM) is common in young children.
- Identifying effective preventive strategies for AOM is crucial.
Purpose of the Study:
- To evaluate if short-term penicillin V prophylaxis during upper respiratory tract infections (URTIs) prevents recurrent AOM in children under six months old.
Main Methods:
- A prospective, double-blind, placebo-controlled study involved 70 children with a first AOM episode before six months of age.
- Penicillin V or placebo was administered by parents during subsequent URTIs.
- Children were followed for 12 months with otomicroscopy and bimonthly check-ups.
Main Results:
- A total of 304 URTI episodes were treated across both groups.
- No statistically significant difference was observed in the number of AOM episodes between the penicillin V and placebo groups.
Conclusions:
- Prophylactic, short-term penicillin V initiated during URTIs does not effectively prevent recurrent acute otitis media in young children.
- Further research may be needed to explore alternative or more sustained preventive measures.
Objective:
To determine whether prophylactic, short-term penicillin V treatment during upper respiratory tract infections can prevent the occurrence of recurrent acute otitis media in young children.
Methods:
Seventy children were studied in a prospective, double-blind, placebo-controlled study. All children had suffered their first episode of acute otitis media before the age of 6 months. After inclusion in the study group, administration of penicillin V or placebo was initiated by the parents at subsequent upper respiratory tract infections. The children were examined by otomicroscopy within 3 days after treatment was initiated. The children were scheduled for a total follow-up period of 12 months, including bimonthly visits for check-up irrespective of treatment periods.
Results:
There were 304 treated episodes of upper respiratory tract infection. There was no significant difference in the number of acute otitis episodes between groups.
Conclusion:
Initiation of penicillin V prophylaxis at upper respiratory tract infection in small children did not prevent recurrent acute otitis media in this study.
Related Concept Videos
Acute Pharyngitis
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Tonsillitis II: Management
Mitral Stenosis III: Medical Management
Endocarditis III: Medical Management
Streptococcal Pharyngitis
Respiratory Syncytial Virus Disease


