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Treatment of otitis media.

Abstract
Amoxicillin is the first-line drug for otitis media. Effective second-line drugs for resistant beta-lactamase-producing bacterial strains include trimethoprim-sulfamethoxazole, erythromycin-sulfisoxazole, cefaclor, cefuroxime axetil and cefixime. In choosing an antibiotic, the physician should consider proven efficacy, cost, side effect profile, compliance issues, spectrum of coverage and the age of the child. Children with recurrent infections may benefit from antibiotic prophylaxis. About 10 percent of children with episodes of acute otitis media develop a chronic middle ear effusion that persists beyond three months. Referral for insertion of tympanostomy tubes is most appropriate for patients with documented language delay and/or significant medical complications.
AuthorsE W Kligman
JournalAmerican family physician (Am Fam Physician) Vol. 45 Issue 1 Pg. 242-50 (Jan 1992) ISSN: 0002-838X [Print] United States
PMID1728094 (Publication Type: Journal Article, Review)
Chemical References
  • Anti-Bacterial Agents
Topics
  • Algorithms
  • Anti-Bacterial Agents (administration & dosage, economics, therapeutic use)
  • Causality
  • Child
  • Chronic Disease
  • Clinical Protocols
  • Decision Trees
  • Family Practice (methods)
  • Humans
  • Otitis Media (drug therapy, epidemiology, microbiology)
  • Recurrence

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