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Thursday, 30 October 2008 13:50 |
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Recent evidence has thrown into question the use of antibiotics and the length of treatment, if prescribed. The growing worldwide development of multidrug-resistant bacteria, the uncertainty of diagnosis, and that up to one third of cases of AOM are viral in origin 12 have made popular a wait-and-see approach to the initial prescription of antibiotics, especially in many European countries. In several randomized clinical trials, antibiotics provided only a small benefit. 13-15 In a meta-analysis of more than 2000 children with AOM, ear pain resolved spontaneously without antibiotics in two thirds by 24 hours and in 80% by day 7.
William F. Miser, MD To Treat or Not to Treat Otitis Media-That's Just One of the Questions J Am Board Fam Pract 2001 (Nov); 14 (6): 474-476 |