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Korean clinical practice guidelines: otitis media in children
Hyo-Jeong Lee1, Su-Kyoung Park, Kyu Young Choi
1Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University College of Medicine, Chuncheon, Korea.
Insights
Korean clinical practice guidelines for pediatric otitis media were developed to aid practitioners in diagnosing and treating acute otitis media (AOM) and otitis media with effusion (OME) in children under 15.
Area of Science:
- Otolaryngology
- Pediatrics
- Family Medicine
Background:
- Acute otitis media (AOM) and otitis media with effusion (OME) are prevalent childhood infections.
- Diagnosis and treatment of pediatric otitis media significantly impact child health and healthcare costs.
Purpose of the Study:
- To develop evidence-based Korean clinical practice guidelines (CPG) for pediatric otitis media.
- To address regional medical and social needs in Korea for otitis media management.
Main Methods:
- Adaptation of existing international guidelines.
- Comprehensive literature review (2004-2009) using Korean and international medical databases.
- National questionnaire survey and public audits for guideline refinement.
Main Results:
- Developed evidence-based CPG for uncomplicated AOM and OME in children under 15.
- Guidelines cover diagnosis, treatment, prevention, parent education, and referrals.
Conclusions:
- The guidelines provide essential recommendations for primary practitioners in managing pediatric otitis media.
- These CPG aim to standardize and improve the care of children with AOM and OME in Korea.
Abstract:
Acute otitis media (AOM) and otitis media with effusion (OME) are common infections in children, and their diagnosis and treatment have significant impacts on the health of children and the costs of providing national medical care. In 2009, the Korean Otologic Society organized a committee composed of experts in the field of otolaryngology, pediatrics, and family medicine to develop Korean clinical practice guidelines (CPG) for otitis media in children with the goal of meeting regional medical and social needs in Korea. For this purpose, the committee adapted existing guidelines. A comprehensive literature review was carried out primarily from 2004 to 2009 using medical search engines including data from Korea. A draft was written after a national questionnaire survey and several public audits, and it was editorially supervised by senior advisors before publication of the final report. These evidence-based guidelines for the management of otitis media in children provide recommendations to primary practitioners for the diagnosis and treatment of children younger than 15 yr old with uncomplicated AOM and OME. The guidelines include recommendations regarding diagnosis, treatment options, prevention and parent education, medical records, referral, and complementary/alternative medicine for treating pediatric otitis media.
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