Controversies in the medical management of persistent and recurrent acute otitis media. Recommendations of a clinical advisory committee.

Controversies in the medical management of persistent and recurrent acute otitis media. Recommendations of a clinical advisory committee. Research Abstract Details 

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Controversies in the medical management of persistent and recurrent acute otitis media. Recommendations of a clinical advisory committee. Abstract Text:

M E Pichichero,S A Reiner,I Brook,W M Gooch,T Yamauchi,S G Jenkins,L Sher,

Streptococcus pneumoniae is the predominant bacterial pathogen associated with acute otitis media (AOM), causing an estimated 7 million cases annually in the United States. Bacterial resistance should be considered when selecting an antimicrobial agent for otitis media. Significant increases in drug-resistant S pneumoniae are documented worldwide, and less than 50% of S pneumoniae strains are fully susceptible to penicillin in some regions of the United States. Although amoxicillin is recommended for uncomplicated AOM, treatment guidelines should be flexible and adaptable, taking into consideration local and regional susceptibility patterns, the age of the patient, the frequency of prior infections, and the response to prior therapy. Resistant organisms are more prevalent in children younger than 2 years of age and in those who have recurrent or persistent AOM. Overdiagnosing AOM, selecting inappropriate empiric therapy, or both, leads to overuse and misuse of antibiotics and causes increased drug resistance. This article reviews persistent and recurrent AOM and discusses the pitfalls of diagnosis and the practical limitations of current treatment recommendations.

Controversies in the medical management of persistent and recurrent acute otitis media. Recommendations of a clinical advisory committee. Publishing Authors By Initials

ME Pichichero,SA Reiner,I Brook,WM Gooch,T Yamauchi,SG Jenkins,L Sher,

For similar diagnosis: prognosis: treatment outcome research abstracts see: diagnosis: prognosis: treatment outcome research

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Controversies in the medical management of persistent and recurrent acute otitis media. Recommendations of a clinical advisory committee. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: The Annals of otology, rhinology & laryngology. Su

VOLUME: 183

Page Numbers: 1-12

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ISSN: 0096-8056

DAY: 21

MONTH: Aug

YEAR: 2000

Controversies in the medical management of persistent and recurrent acute otitis media. Recommendations of a clinical advisory committee. Information

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LANGUAGE: eng

NlmUniqueID: 1256156

Controversies in the medical management of persistent and recurrent acute otitis media. Recommendations of a clinical advisory committee. Keywords Mesh Terms:

KEYWORDS: Treatment Outcome

MESH TERMS: standards

Chemical & Substance for Abstract: Controversies in the medical management of persistent and recurrent acute otitis media. Recommendations of a clinical advisory committee. Information

Substance Name: Anti-Bacterial Agents

Registry Number: 0

Grant and Affiliation Information for Controversies in the medical management of persistent and recurrent acute otitis media. Recommendations of a clinical advisory committee.

AFFILIATION: University of Rochester Medical Center, Microbiology/Immunology, NY 14642, USA.

Country: UNITED STATES

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MEDLINETA: Ann Otol Rhinol Laryngol Suppl

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