Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

An evidence-based approach to treating otitis media

R M Rosenfeld1

  • 1Department of Otolaryngology, State University of New York Health Science Center at Brooklyn, USA.

Pediatric Clinics of North America
|December 1, 1996
PubMed
Summary

Antibiotic use for otitis media (ear infections) shows limited benefit and fuels bacterial resistance. An evidence-based approach, considering the natural course of the disorder, is crucial for effective management.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

International consensus (ICON) on management of otitis media with effusion in children.

European annals of otorhinolaryngology, head and neck diseases·2018
Same author

Short-term and long-term quality of life after neck dissection.

Head & neck·2002
Same author

Implications of the AHRQ evidence report on acute otitis media.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2001
Same author

Effect of early or delayed tympanostomy-tube insertion for persistent otitis media.

The New England journal of medicine·2001
Same author

Meta-analysis of tympanostomy tube sequelae.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2001
Same author

Observation option toolkit for acute otitis media.

International journal of pediatric otorhinolaryngology·2001

Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Pharmacology

Background:

  • Decades of research have not proven the superiority of broad-spectrum antibiotics over penicillin for otitis media.
  • Antibiotics are now considered optional for otitis media with effusion (OME), and their necessity for acute otitis media (AOM) is questioned.
  • Accelerated bacterial resistance necessitates an evidence-based approach to managing otitis media.

Purpose of the Study:

  • To develop unifying concepts for an evidence-based approach to managing otitis media.
  • To guide practicing clinicians in making judicious antibiotic treatment decisions.
  • To emphasize the importance of understanding the natural history and antibiotic impact on otitis media outcomes.

Main Methods:

  • Critical review of published evidence on otitis media treatment.
  • Analysis of the spontaneous course of otitis media and the incremental effect of antibiotics.
  • Synthesis of concepts to aid clinical decision-making.

Main Results:

  • Favorable outcomes are linked to appreciating the natural history of untreated otitis media.
  • OME resolution can take months; risk factor modification aids spontaneous resolution.
  • Limited impact of antibiotics on treatment/prevention necessitates balancing benefits against resistance risks.

Conclusions:

  • Practitioners should recognize the favorable natural history of otitis media and the slow resolution of OME.
  • Judicious antibiotic use, avoiding repetitive or prophylactic treatment, is essential.
  • Managing caregiver expectations regarding natural history and treatment impact facilitates rational decisions on watchful waiting, medical therapy, or surgical intervention.

Related Experiment Videos