There is a legitimate growing concern today that acute otitis media is being overdiagnosed and that antimicrobial agents are being overused for all stages of otitis media, which is contributing to the ever-increasing rate of antibiotic-resistant otitic bacteria. But there is ample evidence that patients with proven acute otitis media should still be treated with an antibiotic, primarily to prevent suppurative complications. Even though most patients will improve spontaneously without the benefit of an antimicrobial

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