English (United Kingdom)French (Fr)
Home Wellness Research Ear Infections (Otitis Media) Are Antibiotics Indicated as Initial Treatment for Children with Acute Otitis Media?

Are Antibiotics Indicated as Initial Treatment for Children with Acute Otitis Media?

Thursday, 30 October 2008 15:20
To determine the effect of antibiotic treatment for acute otitis media in children six studies of children aged 7 months to 15 years were reviewed. 60% of placebo treated children were pain free within 24 hours of presentation, and antibiotics did not influence this. Antibiotics seemed to have no influence on subsequent attacks of otitis media or deafness at one month. Antibiotics were associated with a near doubling of the risk of vomiting, diarrhoea, and/or rashes. Early use of antibiotics provides only modest benefit for acute otitis media: to prevent one child from experiencing pain by 2-7 days after presentation.

Del Mar C, Glasziou P, Hayem M   Are antibiotics indicated as initial treatment for children with acute otitis media? A meta-analysis   BMJ. 1997 (May 24);   314 (7093):   1526-1529