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Optimising pain management in children with acute otitis media through a primary care-based multifaceted educational

Rick T van Uum1, Roderick P Venekamp2, Alies Sjoukes2

  • 1Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Stratenum 5.143, PO Box 85500, 3508, GA, Utrecht, The Netherlands. r.t.vanuum-2@umcutrecht.nl.

Trials
|September 19, 2018
PubMed

Insights

This study evaluated an educational intervention to improve pain management for children with acute otitis media (AOM). The intervention may reduce earache, re-consultations, and antibiotic prescriptions.

Area of Science:

  • Pediatrics
  • General Practice
  • Pain Management

Background:

  • Current guidelines emphasize pain management for acute otitis media (AOM) in children.
  • Evidence suggests suboptimal implementation of pain management in clinical practice.
  • A primary care-based educational intervention was developed to optimize AOM pain management.

Purpose of the Study:

  • To trial the clinical and cost-effectiveness of a multifaceted educational intervention for AOM pain management.
  • To improve adherence to guidelines for pain relief in children with AOM.
  • To assess the impact on symptom duration and healthcare resource utilization.

Main Methods:

  • Cluster randomised controlled trial involving 250 children (6 months–10 years) with AOM across 30 primary care centers.
  • Intervention group GPs received blended educational training on pain management and AOM diagnosis.
  • Control group GPs provided standard care; parents completed symptom diaries over 4 weeks.

Main Results:

  • Primary outcome: difference in parent-reported mean earache scores over the first 3 days.
  • Secondary outcomes: duration of earache and fever, GP re-consultations, antibiotic prescriptions, and costs.
  • Analysis conducted using intention-to-treat principles.

Conclusions:

  • Optimal analgesic use via the intervention may enhance symptom relief.
  • The intervention has the potential to decrease re-consultations and antibiotic prescriptions for AOM.
  • This approach could improve the management of ear pain in pediatric patients.
Abstract

Keywords:
Acute otitis mediaAnalgesicsMultifaceted interventionPain managementPrimary careRCT

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