Abstract

GARCIA, Adriana Abigail et al. Treatment of Acute Otitis Media in the Pediatrics and Otorhinolaryngology, Head and Neck services in the Clinical Hospital. An. Fac. Cienc. Méd. (Asunción) [online]. 2021, vol.54, n.2, pp.43-50. ISSN 1816-8949.  https://doi.org/10.18004/anales/2021.054.02.43.

Acute otitis media (AOM) is a pathology commonly found in pediatrics, and the most frequent cause of antibiotics prescription in infants. For its diagnostics, several criteria are taken in consideration, such as otoscopy observations, diverse clinical signs, and the time of evolution of the main symptoms. The decision to initiate antibiotic therapy must be determined particularly for each patient. As an alternative to immediate antibiotic therapy, watchful waiting is preferred in certain cases to reduce the antibiotic use without elevating the patients’ risk and has been proven to be a cost-effective approach. The preferred drug for empiric antibiotic therapy in AOM is amoxicillin, although we have observed that the first choice in both our services, pediatrics and otorhinolaryngology, is amoxicillin-IBL.

Keywords : Acute otitis media; pneumatic otoscopy; tympanometry; antibiotic therapy..

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