Related Experiment Video
Updated: Aug 17, 2026

Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia
Published on: May 6, 2014
The follow up of acute otitis media in general practice
Insights
Implementing a follow-up protocol for childhood Acute Otitis Media significantly improved patient monitoring. This led to better identification of Otitis Media with Effusion (Glue Ear) and more appropriate referrals for Ear, Nose, and Throat care.
Area of Science:
- Pediatrics
- Primary Care Medicine
- Otolaryngology
Background:
- Acute Otitis Media (AOM) is a frequent childhood illness.
- AOM can lead to significant complications like Otitis Media with Effusion (OME), also known as 'Glue Ear'.
Purpose of the Study:
- To assess the effectiveness of a new follow-up protocol for AOM in primary care.
- To improve the identification and management of OME following AOM.
Main Methods:
- A general practice-based study was conducted.
- A specific protocol for the follow-up of AOM cases was implemented.
- The primary care team was responsible for protocol implementation.
Main Results:
- The introduction of the follow-up protocol led to a significantly improved rate of patient follow-up.
- Improved follow-up resulted in better identification of 'Glue Ear' (OME).
- More appropriate referrals to Ear, Nose, and Throat (ENT) specialists were made.
Conclusions:
- A structured follow-up protocol enhances the management of AOM in primary care.
- Effective follow-up protocols are crucial for timely OME diagnosis.
- Improved primary care pathways can optimize specialist referrals for pediatric ear conditions.
Abstract:
Acute Otitis Media is a common condition of childhood which potentially has a number of significant sequelae including the development of Otitis Media with Effusion ('Glue Ear'). A general practice based study is described which assesses the implementation of a protocol for the follow up of Acute Otitis Media by the primary care team. The results of this study show that following the introduction of a follow up protocol a significantly improved rate of follow up was achieved with resultant improvements in the identification of 'Glue Ear' and hence more appropriate referral for ENT care.
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:
Chronic Pharyngitis
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Tonsillitis I: Introduction
Etiology
Three primary contributing factors have been identified.
Tonsillitis II: Management
Pneumonia V: Nursing management and Prevention
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
Acute Pyelonephritis II: Diagnostic Studies and Management

