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Resources in Evidence Repository and Individual Compendia

Key Resources

Flow diagram for the management of children with suspected and confirmed acute otitis media  (2016)

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 Immunization Committee

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

Flow chart of criteria for management of children with suspected and confirmed acute otitis media based on symptoms of children over 6 months of age.

Flow chart of criteria for management of children with suspected and confirmed acute otitis media based on symptoms of children over 6 months of age.

Videos in clinical medicine. Diagnosing otitis media--otoscopy and cerumen removal  (2010)

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

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

Video instructing how to diagnose otitis media with otoscopy and cerum removal.

Video instructing how to diagnose otitis media with otoscopy and cerum removal.

Acute Otitis Media- Emergency Management in Children - Flowchart  (2018)

Acute Otitis Media- Emergency Management in Children - Flowchart

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Children's Health Queensland Hospital and Health Service

Children's Health Queensland Hospital and Health Service

Flowchart of emergency management in children for acute otitis media.

Flowchart of emergency management in children for acute otitis media.

Bottom Line Recommendations: Acute Otitis Media (2022)

Bottom Line Recommendations: Acute Otitis Media (2022)

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Dr. Nicole Le Saux

Dr. Nicole Le Saux

Bottom line recommendations for the treatment of acute otitis media. Published online November (2022).

Bottom line recommendations for the treatment of acute otitis media. Published online November (2022).

Clinical guidelines

Clinical Practice Guideline: Acute otitis media - Emergency management in children  (2018)

Clinical Practice Guideline: Acute otitis media - Emergency management in children

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Children's Health Queensland Hospital and Health Service

Children's Health Queensland Hospital and Health Service

Children's Health Queensland Statewide Paediatric Guideline for emergency management of acute otitis media in children.

Children's Health Queensland Statewide Paediatric Guideline for emergency management of acute otitis media in children.

Clinical Practice Guideline: Otitis media (acute): antimicrobial prescribing  (2021)

Clinical Practice Guideline: Otitis media (acute): antimicrobial prescribing

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National Institute for Health and Care Excellence (NICE) NICE Guideline

National Institute for Health and Care Excellence (NICE) NICE Guideline

Objective: This guideline sets out an antimicrobial prescribing strategy for acute otitis media (ear infection). aims to limit antibiotic use and reduce antimicrobial resistance.

Objective: This guideline sets out an antimicrobial prescribing strategy for acute otitis media (ear infection). aims to limit antibiotic use and reduce antimicrobial resistance.

Clinical Practice Guideline: The diagnosis and management of acute otitis media  (2013)

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, Joffe MD, Miller DT, Rosenfeld RM, Sevilla XD, Schwartz RH, Thomas PA, Tunkel DE

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

Evidence-based clinical practice guideline from the American Academy of Pediatrics (AAP) and American Academy of Family Physicians.

Evidence-based clinical practice guideline from the American Academy of Pediatrics (AAP) and American Academy of Family Physicians.

Clinical Practice Guideline: Management of acute otitis media in children six months of age and older  (2016)

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 Immunization Committee

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

Canadian Paediatric Society position statement on the management of acute otitis media in children aged 6 months and older.

Canadian Paediatric Society position statement on the management of acute otitis media in children aged 6 months and older.

Clinical Practice Guideline: Danish guidelines on management of otitis media in preschool children  (2016)

Clinical Practice Guideline: Danish guidelines on management of otitis media in preschool children

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Heidemann CH, Lous J, Berg J, Christensen JJ, Hkonsen SJ, Jakobsen M, Johansen CJ, Nielsen LH, Hansen MP, Poulsen A, Schousboe LP, Skrubbeltrang C, Vind AB, ...

Heidemann CH, Lous J, Berg J, Christensen JJ, Hkonsen SJ, Jakobsen M, Johanse...

The Danish Health and Medicines Authority and the Danish Society of Otorhinolaryngology guidelines regarding the diagnostic criteria for acute otitis media and surgical treatment of recurrent AOM and chronic OME in preschool children.

The Danish Health and Medicines Authority and the Danish Society of Otorhinolaryngology guidelines regarding the diagnostic criteria for acute otitis media and surgical treatment of recurrent AOM and chronic OME in preschool children.

Clinical Practice Guideline: Acute Otitis Media  (2021)

Clinical Practice Guideline: Acute Otitis Media

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The Royal Children's Hospital Melbourne

The Royal Children's Hospital Melbourne

Guideline on the assessment and management of acute otitis media in children

Guideline on the assessment and management of acute otitis media in children

Clinical Practice Guideline: Diagnosis and management of Pediatric Acute Otitis Media (Ear Infection)  (2019)

Clinical Practice Guideline: Diagnosis and management of Pediatric Acute Otitis Media (Ear Infection)

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Intermountain Healthcare

Intermountain Healthcare

Objective: This CPM provides best-practice recommendations for diagnosis and management of acute otitis media (AOM), including guidance for appropriate use of antibiotics.

Objective: This CPM provides best-practice recommendations for diagnosis and management of acute otitis media (AOM), including guidance for appropriate use of antibiotics.

Clinical Practice Guideline: Management of otitis media with effusion in children. Socit franc aise dORL et de chirurgie cervico-faciale clinical practice guidelines  (2018)

Clinical Practice Guideline: Management of otitis media with effusion in children. Socit franc aise dORL et de chirurgie cervico-faciale clinical practice guidelines

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Blanc, F. et al.

Blanc, F. et al.

Objective: The Socit franaise dORL et de chirurgie cervico-faciale clinical practice guidelines concern the management of otitis media with effusion (OME) in children under the age of 12 years. They are based on extensive review of MEDLINE and Cochrane Library publications in English or French from 1996 to 2016 concerning the methods of diagnosis and assessment of otitis media with effusion, as well as the efficacy of tympanostomy tubes and medical and surgical treatments of OME.

Objective: The Socit franaise dORL et de chirurgie cervico-faciale clinical practice guidelines concern the management of otitis media with effusion (OME) in children under the age of 12 years. They are based on extensive review of MEDLINE and Cochrane Library publications in English or French from 1996 to 2016 concerning the methods of diagnosis and assessment of otitis media with effusion, as well as the efficacy of tympanostomy tubes and medical and surgical treatments of OME.

Clinical Practice Guideline: Resuscitation of blue baby and the use of prostaglandins  (2010)

Clinical Practice Guideline: Resuscitation of blue baby and the use of prostaglandins

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Linney M, Gnapragassam J, Wilson P, Rodd I

Linney M, Gnapragassam J, Wilson P, Rodd I

This document relates to the acute management of infants presenting acutely with collapse and/or cyanosis suggestive of congenital heart defect.

This document relates to the acute management of infants presenting acutely with collapse and/or cyanosis suggestive of congenital heart defect.

Summaries of systematic reviews

Cochrane Summary: Influenza vaccine for preventing acute otitis media (middle ear infection)  (2017)

Cochrane Summary: Influenza vaccine for preventing acute otitis media (middle ear infection)

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Norhayati MN, Ho JJ, Azman MY

Norhayati MN, Ho JJ, Azman MY

Objective: To assess the effectiveness of influenza vaccine in reducing the occurrence of acute otitis media in infants and children.

Objective: To assess the effectiveness of influenza vaccine in reducing the occurrence of acute otitis media in infants and children.

Cochrane Summary: Antibiotics for otitis media with effusion ('glue ear') in children  (2016)

Cochrane Summary: Antibiotics for otitis media with effusion ('glue ear') in children

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Venekamp RP, Burton MJ, van Dongen TM, van der Heijden GJ, van Zon A, Schilder AG

Venekamp RP, Burton MJ, van Dongen TM, van der Heijden GJ, van Zon A, Schilde...

Objective: To assess the benefits and harms of oral antibiotics in children up to 18 years with OME.

Objective: To assess the benefits and harms of oral antibiotics in children up to 18 years with OME.

Overviews of systematic reviews

Evidence Summary: Are topical antibiotics an alternative to oral antibiotics for children with acute otitis media and ear discharge?  (2016)

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

Venekamp RP, Prasad V, Hay AD

Objective: To review the evidence comparing efectiveness of topical antibiotics with oral antibiotics, placebo, or no treatment in children with AOM presenting with ear discharge caused by spontaneous perforation of the eardrum.

Objective: To review the evidence comparing efectiveness of topical antibiotics with oral antibiotics, placebo, or no treatment in children with AOM presenting with ear discharge caused by spontaneous perforation of the eardrum.

Systematic reviews

Cochrane Systematic Review: Antibiotics for the prevention of acute and chronic suppurative otitis media in children

Cochrane Systematic Review: Antibiotics for the prevention of acute and chronic suppurative otitis media in children

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Leach AJ, Morris PS

Leach AJ, Morris PS

OBJECTIVES: To determine the effectiveness of long-term antibiotics (for longer than six weeks) in preventing any AOM, AOM with perforation and C

OBJECTIVES: To determine the effectiveness of long-term antibiotics (for longer than six weeks) in preventing any AOM, AOM with perforation and C

Cochrane Systematic Review: Decongestants and antihistamines for acute otitis media in children

Cochrane Systematic Review: Decongestants and antihistamines for acute otitis media in children

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Coleman C, Moore M.

Coleman C, Moore M.

Objectives: To determine the efficacy of decongestant and antihistamine therapy in children with AOM on outcomes of AOM resolution, symptom resolution, medication side effects, and complications of AOM.

Objectives: To determine the efficacy of decongestant and antihistamine therapy in children with AOM on outcomes of AOM resolution, symptom resolution, medication side effects, and complications of AOM.

Cochrane Systematic Review: Once or twice daily versus three times daily amoxicillin with or without clavulanate for the treatment of acute otitis media

Cochrane Systematic Review: Once or twice daily versus three times daily amoxicillin with or without clavulanate for the treatment of acute otitis media

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Thanaviratananich S, Laopaiboon M, Vatanasapt P.

Thanaviratananich S, Laopaiboon M, Vatanasapt P.

Objectives: To compare the effectiveness of one or two daily doses with three or four daily doses of amoxicillin, with or without clavulanate, for the treatment of AOM in children; and to compare complication rates and adverse reactions.

Objectives: To compare the effectiveness of one or two daily doses with three or four daily doses of amoxicillin, with or without clavulanate, for the treatment of AOM in children; and to compare complication rates and adverse reactions.

Cochrane Systematic Review: Short-course antibiotics for acute otitis media

Cochrane Systematic Review: Short-course antibiotics for acute otitis media

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Kozyrskyj A, Klassen TP, Moffatt M, Harvey K.

Kozyrskyj A, Klassen TP, Moffatt M, Harvey K.

Objectives: To determine the effectiveness of a short course of antibiotics (less than seven days) in comparison to a long course of antibiotics (seven days or greater) for the treatment of AOM in children.

Objectives: To determine the effectiveness of a short course of antibiotics (less than seven days) in comparison to a long course of antibiotics (seven days or greater) for the treatment of AOM in children.

Cochrane Systematic Review: Topical analgesia for acute otitis media

Cochrane Systematic Review: Topical analgesia for acute otitis media

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Foxlee R, Johansson A, Wejfalk J, Dawkins J, Dooley L, Del Mar C.

Foxlee R, Johansson A, Wejfalk J, Dawkins J, Dooley L, Del Mar C.

Objectives: To assess the effectiveness of topical analgesia for AOM.

Objectives: To assess the effectiveness of topical analgesia for AOM.

Cochrane Systematic Review: Antibiotics for otitis media with effusion in children

Cochrane Systematic Review: Antibiotics for otitis media with effusion in children

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van Zon A, van der Heijden GJ, van Dongen TM, Burton MJ, Schilder AG

van Zon A, van der Heijden GJ, van Dongen TM, Burton MJ, Schilder AG

OBJECTIVES: To assess the effects of antibiotics in children up to 18 years with OME.

OBJECTIVES: To assess the effects of antibiotics in children up to 18 years with OME.

Cochrane Systematic Review: Antihistamines and/or decongestants for otitis media with effusion (OME) in children

Cochrane Systematic Review: Antihistamines and/or decongestants for otitis media with effusion (OME) in children

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Griffin G, Flynn CA

Griffin G, Flynn CA

OBJECTIVES: The objective of this review was to determine whether antihistamine, decongestant or combination therapy is effective in treating children who present with OME.

OBJECTIVES: The objective of this review was to determine whether antihistamine, decongestant or combination therapy is effective in treating children who present with OME.

Cochrane Systematic Review: Identification of children in the first four years of life for early treatment for otitis media with effusion

Cochrane Systematic Review: Identification of children in the first four years of life for early treatment for otitis media with effusion

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Simpson SA, Thomas CL, van der Linden MK, Macmillan H, van der Wouden JC, Butler C

Simpson SA, Thomas CL, van der Linden MK, Macmillan H, van der Wouden JC, Bu...

OBJECTIVES: The aim of this review was to assess evidence from randomised controlled trials about the effect, on language and behavioural outcomes, of screening and treating children with clinically important OME in the first four years of their life. The focus was on the first four years of life because this is the time of most rapid language development. The consequences of hearing loss are likely to be most serious during this time. In addition, children of this age are least likely to be able to report or seek help for impaired hearing, particularly if these problems have a slow onset and are subtle.

OBJECTIVES: The aim of this review was to assess evidence from randomised controlled trials about the effect, on language and behavioural outcomes, of screening and treating children with clinically important OME in the first four years of their life. The focus was on the first four years of life because this is the time of most rapid language development. The consequences of hearing loss are likely to be most serious during this time. In addition, children of this age are least likely to be able to report or seek help for impaired hearing, particularly if these problems have a slow onset and are subtle.

Cochrane Systematic Review: Oral or topical nasal steroids for hearing loss associated with otitis media with effusion in children

Cochrane Systematic Review: Oral or topical nasal steroids for hearing loss associated with otitis media with effusion in children

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Simpson SA, Lewis R, van der Voort J, Butler CC

Simpson SA, Lewis R, van der Voort J, Butler CC

OBJECTIVES: To examine the evidence for treating children with hearing loss associated with OME with systemic or topical intranasal steroids.

OBJECTIVES: To examine the evidence for treating children with hearing loss associated with OME with systemic or topical intranasal steroids.

Cochrane Systematic Review: Antibiotics for acute otitis media in children  (2015)

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

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

Objective: To assess the effects of antibiotics for children with AOM.

Objective: To assess the effects of antibiotics for children with AOM.

Systematic Review: A systematic review and meta-analysis of antimicrobial resistance in paediatric acute otitis media  (2019)

Systematic Review: A systematic review and meta-analysis of antimicrobial resistance in paediatric acute otitis media

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Michael W. Mathera, Michael Drinnana, John D. Perryc, Steven Powellb, Janet A. Wilsonb, Jason Powella

Michael W. Mathera, Michael Drinnana, John D. Perryc, Steven Powellb, Janet A...

Objective: We present a comprehensive review and meta-analysis, of both the microbiology and antimicrobial resistance of AOM organisms to commonly used antimicrobial agents, with the aim of informing responsible antimicrobial stewardship.

Objective: We present a comprehensive review and meta-analysis, of both the microbiology and antimicrobial resistance of AOM organisms to commonly used antimicrobial agents, with the aim of informing responsible antimicrobial stewardship.

Cochrane Systematic Review: Systemic corticosteroids for acute otitis media in children  (2018)

Cochrane Systematic Review: Systemic corticosteroids for acute otitis media in children

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Ranakusuma RW, Pitoyo Y, Safitri ED, Thorning S, Beller EM, Sastroasmoro S, Del Mar CB

Ranakusuma RW, Pitoyo Y, Safitri ED, Thorning S, Beller EM, Sastroasmoro S, D...

Objective: To assess the effects of systemic corticosteroids (oral or parenteral), with or without antibiotics, for AOM in children.

Objective: To assess the effects of systemic corticosteroids (oral or parenteral), with or without antibiotics, for AOM in children.

Cochrane Systematic Review: Influenza vaccines for preventing acute otitis media in infants and children  (2017)

Cochrane Systematic Review: Influenza vaccines for preventing acute otitis media in infants and children

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Norhayati MN, Ho JJ, Azman MY

Norhayati MN, Ho JJ, Azman MY

Objective: To assess the effectiveness of influenza vaccine in reducing the occurrence of acute otitis media in infants and children.

Objective: To assess the effectiveness of influenza vaccine in reducing the occurrence of acute otitis media in infants and children.

Review: Antibiotic therapy for children with acute otitis media  (2017)

Review: Antibiotic therapy for children with acute otitis media

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Sakulchit T, Goldman RD

Sakulchit T, Goldman RD

Objective: Review of AOM and the evidence regarding use of antibiotics or watchful waiting to treat children at different levels of disease severity.

Objective: Review of AOM and the evidence regarding use of antibiotics or watchful waiting to treat children at different levels of disease severity.

Cochrane Systematic Review: Paracetamol (acetaminophen) or non-steroidal anti-inflammatory drugs, alone or combined, for pain relief in acute otitis media in children  (2016)

Cochrane Systematic Review: Paracetamol (acetaminophen) or non-steroidal anti-inflammatory drugs, alone or combined, for pain relief in acute otitis media in children

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Sjoukes A, Venekamp RP, van de Pol AC, Hay AD, Little P, Schilder AG, Damoiseaux RA

Sjoukes A, Venekamp RP, van de Pol AC, Hay AD, Little P, Schilder AG, Damoise...

Objective: Our primary objective was to assess the effectiveness of paracetamol (acetaminophen) or NSAIDs, alone or combined, compared with placebo or no treatment in relieving pain in children with AOM. Our secondary objective was to assess the effectiveness of NSAIDs compared with paracetamol in children with AOM.

Objective: Our primary objective was to assess the effectiveness of paracetamol (acetaminophen) or NSAIDs, alone or combined, compared with placebo or no treatment in relieving pain in children with AOM. Our secondary objective was to assess the effectiveness of NSAIDs compared with paracetamol in children with AOM.

Cochrane Systematic Review: Antibiotics for otitis media with effusion in children  (2016)

Cochrane Systematic Review: Antibiotics for otitis media with effusion in children

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Venekamp RP, Burton MJ, van Dongen TM, van der Heijden GJ, van Zon A, Schilder AG

Venekamp RP, Burton MJ, van Dongen TM, van der Heijden GJ, van Zon A, Schilde...

Objective: To assess the benefits and harms of oral antibiotics in children up to 18 years with OME.

Objective: To assess the benefits and harms of oral antibiotics in children up to 18 years with OME.

Cochrane Review: Probiotics for preventing acute otitis media in children  (2019)

Cochrane Review: Probiotics for preventing acute otitis media in children

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Scott AM, Clark J, Julien B, Islam F, Roos K, Grimwood K, Little P, Del Mar CB

Scott AM, Clark J, Julien B, Islam F, Roos K, Grimwood K, Little P, Del Mar CB

Objective: To assess the effects of probiotics to prevent the occurrence and reduce the severity of acute otitis media in children.

Objective: To assess the effects of probiotics to prevent the occurrence and reduce the severity of acute otitis media in children.

Cochrane Review: Pneumococcal conjugate vaccines for preventing acute otitis media in children  (2020)

Cochrane Review: Pneumococcal conjugate vaccines for preventing acute otitis media in children

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de Svaux JLH, Venekamp RP, Lutje V, Hak E, Schilder AGM, Sanders EAM, Damoiseaux RAMJ de

de Svaux JLH, Venekamp RP, Lutje V, Hak E, Schilder AGM, Sanders EAM, Damoise...

Objective: To assess the effect of PCVs in preventing AOM in children up to 12 years of age.

Objective: To assess the effect of PCVs in preventing AOM in children up to 12 years of age.

Systematic Review: Clinical practice guidelines for acute otitis media in children: a systematic review and appraisal of European national guidelines  (2020)

Systematic Review: Clinical practice guidelines for acute otitis media in children: a systematic review and appraisal of European national guidelines

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Suzuki, H.G. et al.

Suzuki, H.G. et al.

Objective: To appraise European guidelines for acute otitis media (AOM) in children, including methodological quality, level of evidence (LoE), astrength of recommendations (SoR), and consideration of antibiotic stewardship

Objective: To appraise European guidelines for acute otitis media (AOM) in children, including methodological quality, level of evidence (LoE), astrength of recommendations (SoR), and consideration of antibiotic stewardship

Cochrane Systematic Review: Interventions for ear discharge associated with grommets (ventilation tubes)

Cochrane Systematic Review: Interventions for ear discharge associated with grommets (ventilation tubes)

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Vaile L, Williamson T, Waddell A, Taylor G

Vaile L, Williamson T, Waddell A, Taylor G

OBJECTIVES: 1. To identify the most effective non-surgical management of discharge from ears with grommets in place.2. To identify the risks of non-surgical management for this condition (e.g. ototoxicity), and to set benefits of treatment against these risks.

OBJECTIVES: 1. To identify the most effective non-surgical management of discharge from ears with grommets in place.2. To identify the risks of non-surgical management for this condition (e.g. ototoxicity), and to set benefits of treatment against these risks.

Key studies

Key study: Symptomatic and asymptomatic respiratory viral infections in the first year of life: association with acute otitis media development  (2015)

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, Loeffelholz MJ, Miller AL, McCormick DP, Patel JA, Pyles RB

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

Objective: This study determined the epidemiologic characteristics and etiology of asymptomatic upper respiratory tract infection in the first year of life and the association with acute otitis media complication.

Objective: This study determined the epidemiologic characteristics and etiology of asymptomatic upper respiratory tract infection in the first year of life and the association with acute otitis media complication.

Key study: Treatment of acute otitis media in children under 2 years of age  (2011)

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 DK, Kurs-Lasky M, Bhatnagar S, Haralam MA, Zoffel LM, Jenkins C, Pope MA, Balent...

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

Objective: We undertook this clinical trial 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 in whom the diagnosis of acute otitis media is quite certain.

Objective: We undertook this clinical trial 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 in whom the diagnosis of acute otitis media is quite certain.

Key study: A placebo-controlled trial of antimicrobial treatment for acute otitis media  (2011)

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

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

Objective: We conducted a randomized, double-blind, placebo-controlled study of the efficacy of antimicrobial therapy in the age group with the highest incidence of acute otitis media. Our aim was to assess the efficacy of antimicrobial treatment for acute otitis media when strict diagnostic criteria are used and the antimicrobial coverage and dosage of the active treatment are adequate.

Objective: We conducted a randomized, double-blind, placebo-controlled study of the efficacy of antimicrobial therapy in the age group with the highest incidence of acute otitis media. Our aim was to assess the efficacy of antimicrobial treatment for acute otitis media when strict diagnostic criteria are used and the antimicrobial coverage and dosage of the active treatment are adequate.

Key study: Acute otitis media in children presenting to the emergency department: Is it diagnosed and managed appropriately?  (2019)

Key study: Acute otitis media in children presenting to the emergency department: Is it diagnosed and managed appropriately?

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Niroshan Balasundaram, Dung Phan, Daniel Mazzoni, Elliot Duong, Amy Sweeny, Chris Del Mar and Gerben Keijzers

Niroshan Balasundaram, Dung Phan, Daniel Mazzoni, Elliot Duong, Amy Sweeny, C...

Objective: To describe the diagnostic and management practice in children with acute otitis media (AOM) presenting to the emergency department (ED) and compare diagnosis and management against existing guidelines.

Objective: To describe the diagnostic and management practice in children with acute otitis media (AOM) presenting to the emergency department (ED) and compare diagnosis and management against existing guidelines.

Key study: Diagnostic Accuracy, Prescription Behavior, and Watchful Waiting Efficacy for Pediatric Acute Otitis Media  (2019)

Key study: Diagnostic Accuracy, Prescription Behavior, and Watchful Waiting Efficacy for Pediatric Acute Otitis Media

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Brinker DL Jr, MacGeorge EL, Hackman N

Brinker DL Jr, MacGeorge EL, Hackman N

Objective: To assess the implications and recommendations to improve antibiotic stewardship through watchful waiting as an alternative to immediate antibiotic treatment in children with AOM.

Objective: To assess the implications and recommendations to improve antibiotic stewardship through watchful waiting as an alternative to immediate antibiotic treatment in children with AOM.

Key study: Optimising pain management in children with acute otitis media through a primary care-based multifaceted educational intervention: study protocol for a cluster randomised controlled trial  (2018)

Key study: Optimising pain management in children with acute otitis media through a primary care-based multifaceted educational intervention: study protocol for a cluster randomised controlled trial

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van Uum RT, Venekamp RP, Sjoukes A, van de Pol AC, de Wit GA, Schilder AGM, Damoiseaux RAMJ,

van Uum RT, Venekamp RP, Sjoukes A, van de Pol AC, de Wit GA, Schilder AGM, D...

Objective: We have developed a primary care-based multifaceted educational intervention to optimise pain management in children with AOM, and we trial its clinical and cost effectiveness.

Objective: We have developed a primary care-based multifaceted educational intervention to optimise pain management in children with AOM, and we trial its clinical and cost effectiveness.

Key study: Shortened Antimicrobial Treatment for Acute Otitis Media in Young Children  (2016)

Key study: Shortened Antimicrobial Treatment for Acute Otitis Media in Young Children

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Hoberman A, Paradise JL, Rockette HE, Kearney DH, Bhatnagar S, Shope TR, Martin JM, Kurs-Lasky M, Copelli SJ, Colborn DK, Block SL, Labella JJ, Lynch TG, Coh...

Hoberman A, Paradise JL, Rockette HE, Kearney DH, Bhatnagar S, Shope TR, Mart...

Objective: Given methodologic limitations in available publications, we undertook the current trial involving children 6 to 23 months of age to determine whether limiting antimicrobial treatment to 5 days rather than using the standard 10-day regimen would afford equivalent outcomes and whether doing so also for subsequent episodes would lead to a reduction in the overall use of antimicrobial treatment, with a resulting reduction in the development of antimicrobial resistance.

Objective: Given methodologic limitations in available publications, we undertook the current trial involving children 6 to 23 months of age to determine whether limiting antimicrobial treatment to 5 days rather than using the standard 10-day regimen would afford equivalent outcomes and whether doing so also for subsequent episodes would lead to a reduction in the overall use of antimicrobial treatment, with a resulting reduction in the development of antimicrobial resistance.

Key study: Use of symptoms and risk factors to predict acute otitis media in infants  (2016)

Key study: Use of symptoms and risk factors to predict acute otitis media in infants

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McCormick DP, Jennings K, Ede LC, Alvarez-Fernandez P, Patel J, Chonmaitree T

McCormick DP, Jennings K, Ede LC, Alvarez-Fernandez P, Patel J, Chonmaitree T

Objective: The purpose of this study was to evaluate the usefulness of symptoms and other risk factors in predicting the presence of AOM in infants.

Objective: The purpose of this study was to evaluate the usefulness of symptoms and other risk factors in predicting the presence of AOM in infants.

Key Study: Invasive bacterial Infections in afebrile infants diagnosed with acute otitis media  (2021)

Key Study: Invasive bacterial Infections in afebrile infants diagnosed with acute otitis media

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Son H McLaren 1, Andrea T Cruz 2, Kenneth Yen, et al. Pediatrics

Son H McLaren 1, Andrea T Cruz 2, Kenneth Yen, et al. Pediatrics

Objective: to determine the prevalence of invasive bacterial infections (IBIs) and adverse events in afebrile infants with acute otitis media (AOM).

Objective: to determine the prevalence of invasive bacterial infections (IBIs) and adverse events in afebrile infants with acute otitis media (AOM).

Key Study: Anaesthetic-analgesic ear drops to reduce antibiotic consumption in children with acute otitis media: the CEDAR RCT  (2019)

Key Study: Anaesthetic-analgesic ear drops to reduce antibiotic consumption in children with acute otitis media: the CEDAR RCT

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Hay, A.D. et al.

Hay, A.D. et al.

Objective: The Childrens Ear Pain Study (CEDAR) investigated whether or not providing anaestheticanalgesic ear drops reduced antibiotic consumption in children with AOM. Secondary objectives included pain control and cost-effectiveness.

Objective: The Childrens Ear Pain Study (CEDAR) investigated whether or not providing anaestheticanalgesic ear drops reduced antibiotic consumption in children with AOM. Secondary objectives included pain control and cost-effectiveness.

TREKK.ca Info Pages

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Outstanding Mentor Award

Posted: Nov 03, 2016  | Announcement  | Team: News and Events 


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Updated Bottom Line Recommendations: Acute Otitis Media

Posted: Oct 03, 2019  | Announcement  | Team: News and Events 


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New Evidence Repository

Posted: Oct 18, 2016  | Announcement  | Team: News and Events 


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Updated Resources

Posted: Nov 17, 2022  | Announcement  | Team: News and Events 


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Updated Resource for Ear Infections

Posted: May 14, 2020  | Announcement  | Team: News and Events 


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Media

Posted: Jan 26, 2017  | Announcement  | Team: Communications 


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TREKK Web Design

Posted: Feb 09, 2011  | Project  | Team: Communications  > Communications


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Federal Government Renews Support for TREKK

Posted: May 01, 2016  | Announcement  | Team: News and Events 


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NEW Parent Tools!

Posted: May 30, 2019  | Announcement  | Team: News and Events 


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Parent tools - UTI and Bronchiolitis

Posted: Jan 09, 2020  | Announcement  | Team: News and Events 


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Parent tools - CTV Winnipeg

Posted: Jun 18, 2019  | Announcement  | Team: News and Events 


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Top 10 ED tips for families

Posted: Jul 15, 2016  | Announcement  | Team: News and Events 


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CBC Radio Active Child Health Series

Posted: Sep 08, 2016  | Announcement  | Team: News and Events 


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OUTCH Study

Posted: Feb 19, 2016  | Announcement  | Team: News and Events 


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Webinar: Mobilizing knowledge to improve pediatric health care

Posted: Mar 29, 2016  | Announcement  | Team: News and Events 


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Why should Canada invest in emergency care for children:

Posted: Jul 18, 2017  | Announcement  | Team: News and Events 


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TREKK Scholars & Fellows Program

Posted: Jul 05, 2021  | Announcement  | Team: News and Events 



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