1330. Antibiotic choices in AOM Rx // Describe observation strategy // Approach to AOM abx failure // OME Rx // Otitis externa RF, pathophys, 3 bugs

November 14th, 2009
by reuben in ear

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Responses to “1330. Antibiotic choices in AOM Rx // Describe observation strategy // Approach to AOM abx failure // OME Rx // Otitis externa RF, pathophys, 3 bugs”

  1. “Immediate ampicillin/amoxicillin treatment has a modest benefit compared with placebo or delayed antibiotics but also may be associated with more diarrhea and rash. Of 100 average-risk children with AOM, approximately 80 would likely get better within about 3 days without antibiotics.67 If all were treated with immediate ampicillin/amoxicillin, an additional 12 would likely improve, but 3 to 10 children would develop rash and 5 to 10 would develop diarrhea. Clinicians need to weigh these risks (including possible long-term effects on antibiotic resistance) and benefits before prescribing immediate antibiotics for uncomplicated AOM.”

    JAMA. 2010;304(19):2161-2169. doi:10.1001/jama.2010.1651

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