Détail de la notice
Titre du Document
Treatment of otitis media with observation and a safety-net antibiotic prescription
Auteur(s)
SIEGEL Robert M. ; KIELY Michele ; BIEN James P. ; ...
Résumé
Objective. Several studies have demonstrated that acute otitis media (AOM) in children can be managed without antibiotics. Because children with AOM have traditionally been treated with antibiotics in the United States, there are concerns that parents may not be comfortable with their children being treated with pain control alone. Recently, Cates in England showed that antibiotic usage for AOM could be decreased by prescribing a safety-net antibiotic prescription (SNAP) to be filled if symptoms do not resolve with observation after 48 hours. It is not clear whether a SNAP will be acceptable to parents in other settings such as the United States. The objective of our study was to determine whether parents in the United States find a SNAP for AOM acceptable and whether antibiotic usage could be decreased by its use. Methods. A pediatric practice-based research network in a midwestern community of 1.8 million was the setting for this study. The Cincinnati Pediatric Research Group (CPRG) includes practices in Ohio, Kentucky, and Indiana. Children who were between 1 and 12 years of age and presented to the offices of the CPRG with uncomplicated AOM were eligible for the study. Children were excluded when they had temperature >101.5°F, had an ear infection in the past 3 months, showed signs of another bacterial infection, or were toxic appearing. Families were given acetaminophen, ibuprofen, or topical otic anesthetic drops for pain control. They were also given a prescription fo
Editeur
American Academy of Pediatrics
Identifiant
ISSN : 0031-4005 CODEN : PEDIAU
Source
Pediatrics (Evanston) A. 2003, vol. 112, 1, pp. 527-531 [5 pages] [bibl. : 26 ref.]
Langue
Anglais
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