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Related Concept Videos

Tonsillitis II: Management01:26

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Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

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Related Experiment Video

Updated: May 23, 2026

Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia
13:27

Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia

Published on: May 6, 2014

Are Management Practices for Pediatric Uncomplicated Acute Otitis Media Different on Weekends Versus Weekdays?

Eyal Schneider1,2, Maor Pichadze2,3, Shir Avraham2

  • 1From the Department of Otolaryngology-Head and Neck Surgery, Samson Assuta Ashdod University Hospital, Ashdod, Israel.

The Pediatric Infectious Disease Journal
|May 22, 2026
PubMed
Summary

Acute otitis media (AOM) care in children was guideline-adherent, irrespective of visit timing or physician supervision. This study found no evidence of a "weekend effect" on AOM management quality in the pediatric emergency department.

Keywords:
acute otitis mediaantimicrobial stewardshipclinical guidelinequality improvementtreatmentweekend effect

Related Experiment Videos

Last Updated: May 23, 2026

Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia
13:27

Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia

Published on: May 6, 2014

Area of Science:

  • Pediatric Emergency Medicine
  • Infectious Disease Management
  • Healthcare Quality Improvement

Background:

  • Acute otitis media (AOM) is a frequent pediatric diagnosis and a primary driver of antibiotic prescriptions.
  • The "weekend effect," characterized by reduced care quality due to decreased senior physician supervision outside standard hours, is a recognized concern in pediatric healthcare.
  • The impact of the weekend effect on the management of acute otitis media has not been previously investigated.

Purpose of the Study:

  • To investigate the potential impact of the "weekend effect" on the quality of acute otitis media (AOM) management in a pediatric emergency department.
  • To assess whether AOM treatment appropriateness varies based on visit timing (weekday vs. after-hours) and physician supervision levels.

Main Methods:

  • A retrospective cross-sectional study analyzed data from 288 children (6 months to 10 years) diagnosed with uncomplicated AOM.
  • Treatment appropriateness was evaluated against the 2023 Israeli AOM guidelines.
  • Care optimality was categorized by visit timing and attending physician presence: Level 0 (weekday, attending), Level 1 (after-hours, attending), and Level 2 (after-hours, no attending).

Main Results:

  • Weekend and weekday patient groups were clinically and demographically similar.
  • Attending physician presence was significantly higher during weekdays (82.8%) compared to after-hours (55.6%).
  • Overall guideline-appropriate treatment was 72.9%, with amoxicillin as the preferred first-line antibiotic; no significant differences in appropriateness were observed across visit times or care optimality levels.

Conclusions:

  • Acute otitis media management adhered to guidelines consistently, regardless of visit timing or physician supervision intensity.
  • The study did not identify a "weekend effect" influencing the quality of AOM care.
  • Findings suggest robust clinical practice standardization within the pediatric emergency department, supporting current protocols as a model for consistent AOM care.