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Acute otitis media: From diagnosis to prevention. Summary of the Italian guideline
Paola Marchisio1, Luisa Bellussi, Giuseppe Di Mauro
1Department of Maternal and Pediatric Sciences, University of Milan and Foundation, IRCCS Cà Granda Ospedale Maggiore Policlinico, Italy. paola.marchisio@unimi.it
Insights
This guideline offers evidence-based recommendations for managing acute otitis media (AOM) in children aged 2 months to 12 years. It addresses diagnosis, treatment, complications, and prevention for Italian healthcare professionals.
Area of Science:
- Pediatrics
- Otolaryngology
- Infectious Diseases
Background:
- Acute otitis media (AOM) is a prevalent childhood illness with significant health and economic impacts.
- Approximately one million AOM cases are diagnosed annually in Italian children.
- Previous AOM management guidelines in Italy have been localized, lacking national standardization.
Purpose of the Study:
- To establish national clinical practice guidelines for AOM management in children.
- To provide evidence-based recommendations for pediatricians, general practitioners, and otolaryngologists.
- To standardize the approach to AOM diagnosis, treatment, complication management, and prevention.
Main Methods:
- Systematic literature review and grading of evidence.
- Development of key clinical questions by a multidisciplinary panel.
- Consensus-based drafting of recommendations.
Main Results:
- The guideline provides comprehensive recommendations covering AOM diagnosis.
- Evidence-based strategies for treating acute episodes are detailed.
- Management protocols for AOM complications and preventive measures are outlined.
Conclusions:
- This guideline aims to optimize AOM care for children in Italy.
- It serves as a national reference for healthcare providers managing AOM.
- Standardized management can improve outcomes and reduce the burden of AOM.
Abstract:
Acute otitis media (AOM) is the most common disease occurring in infants and children and has major medical, social and economic effects. If we consider the Italian pediatric population and the incidence rates in different age ranges it can be calculated that almost one million cases of AOM are diagnosed in Italy every year. Various attempts have been made internationally to clarify the most appropriate ways in which AOM should be managed. In Italy, this has been done at local or regional level but there have so far been no national initiatives. The objective of this guideline is to provide recommendations to pediatricians, general practitioners and otolaryngologists involved in the clinical management of acute otitis media in healthy children aged 2 months to 12 years. After a systematic review and grading of evidences from the literature, the document was drafted by a multidisciplinary panel with identified key clinical questions related to diagnosis, treatment of the acute episode, management of complications and prevention.
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