Consistency of diagnostic criteria for acute otitis media: A review of the recent literature

Stephanie M. Chandler, Shawn M.S. Garcia, David P. McCormick

Research output: Contribution to journalReview article

9 Scopus citations


Clinicians use various criteria to diagnose acute otitis media (AOM). Using American Academy of Pediatrics (AAP) guidelines, we reviewed the consistency of AOM diagnosis in clinical trials (1994-2005). Eighty-one percent of the studies required at least one of the three AAP criteria. Only 20% of the 88 studies met all three AAP criteria for a diagnosis. We found no association between the number of criteria met and study quality or industry sponsorship. Better agreement on the definition of AOM using AAP criteria could facilitate a more accurate clinical diagnosis and provide standardization of research and patient care practices.

Original languageEnglish (US)
Pages (from-to)99-108
Number of pages10
JournalClinical pediatrics
Issue number2
StatePublished - Mar 1 2007


ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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