Acute Otitis Media

Antibiotic therapy has been the standard treatment for acute otitis media for over half a century, but this widespread practice has now been questioned.

To Treat or Not to Treat Acute Otitis Media with Antibiotics?

With the possibility of increasing the problem of resistant bacterial pathogens, some clinicians, especially in some European countries, question the need for antimicrobial therapy in all patients for treatment of acute otitis media. But most experts in the United States today agree that acute otitis media should be actively treated with an antimicrobial agent. Table 78-2 summarizes four outcomes that provide convincing evidence to support this recommendation and are described in detail below.

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