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Acute otitis media (AOM) is a common, symptomatic infection of the middle ear. Nasopharyngeal secretions that contain viruses and bacteria can enter the middle ear via the eustachian tube. Usually the middle ear drains well but if there is eustachian tube swelling, fluid from the middle ear may not drain properly. Under these conditions bacteria and viruses present in the middle ear can multiply, creating clinical AOM.

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En bref

Bottom Line Recommendations: Acute Otitis Media

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Le Saux, N & TREKK Network

Bottom line recommendations for the treatment and management of acute otitis media. Published online: October 2016.

Recommandations de Base: Otite moyenne aiguë

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Le Saux, N & TREKK Network

Bottom line recommendations for the treatment and management of acute otitis media - French. Published online: December 2016.

Bottom Line Recommendations: Flow diagram for the management of children with suspected and confirmed acute otitis media

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Le Saux N, Robinson JL, Canadian Paediatric Society, Infectious Diseases and ...

This flow diagram from the position statement of the Canadian Paediatric Society illustrates the management of children with suspected and confirmed acute otitis media.

Bottom Line Recommendations: Videos in clinical medicine. Diagnosing otitis media--otoscopy and cerumen removal

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Shaikh N, Hoberman A, Kaleida PH, Ploof DL, Paradise JL

Pneumatic otoscopy and cerumen removal is discussed in this video. Mastery of otoscopic examination techniques is necessary for the accurate diagnosis of otitis media.

directive clinique

Clinical Practice Guideline: Management of acute otitis media in children six months of age and older

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Le Saux N, Robinson JL, Canadian Paediatric Society, Infectious Diseases and ...

The present position statement updates a previous Canadian Paediatric Society document released in 2009, outlining the management of acute otitis media in children six months of age and older.

Clinical Practice Guideline: The diagnosis and management of acute otitis media

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Lieberthal AS, Carroll AE, Chonmaitree T, Ganiats TG, Hoberman A, Jackson MA,...

This evidence-based clinical practice guideline is a revision of the 2004 acute otitis media guideline from the American Academy of Pediatrics and American Academy of Family Physicians. It provides recommendations to primary care clinicians for the management of children from 6 months through 12 years of age with uncomplicated acute otitis media.

Résumé de l'examen systématique

Evidence Summary: Are topical antibiotics an alternative to oral antibiotics for children with acute otitis media and ear discharge?

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Venekamp RP, Prasad V, Hay AD

This summary presents results of a systematic review that searched to identify any published studies comparing the effectiveness of topical antibiotics with oral antibiotics, placebo, or no treatment in children with acute otitis media presenting with ear discharge caused by spontaneous perforation of the eardrum.

examen systématique

Cochrane Systematic Review: Antibiotics for acute otitis media in children

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Venekamp RP, Sanders SL, Glasziou PP, Del Mar CB, Rovers MM

The purpose of this review was to assess the effects of antibiotics for children with acute otitis media.

étude clé

Key Study: Symptomatic and asymptomatic respiratory viral infections in the first year of life: association with acute otitis media development

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Chonmaitree T, Alvarez-Fernandez P, Jennings K, Trujillo R, Marom T, Loeffelh...

The purpose of this study was to determine the clinical significance of asymptomatic respiratory viral infection in infants.

Key Study: Treatment of acute otitis media in children under 2 years of age

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Hoberman A, Paradise JL, Rockette HE, Shaikh N, Wald ER, Kearney DH, Colborn ...

The purpose of this clinical trial was to determine the extent to which antimicrobial treatment affects the course of both symptoms and signs of acute otitis media, irrespective of the apparent severity of the disease, among children 6 to 23 months of age who have been diagnosed with acute otitis media.

Key Study: A placebo-controlled trial of antimicrobial treatment for acute otitis media

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Thtinen PA, Laine MK, Huovinen P, Jalava J, Ruuskanen O, Ruohola A

This randomized, double-blind, placebo-controlled study assessed the efficacy of antimicrobial treatment for acute otitis media.