The diagnosis and management of acute otitis media

Allan S. Lieberthal, Aaron E. Carroll, Tasnee Chonmaitree, Theodore G. Ganiats, Alejandro Hoberman, Mary Anne Jackson, Mark D. Joffe, Donald T. Miller, Richard M. Rosenfeld, Xavier D. Sevilla, Richard H. Schwartz, Pauline A. Thomas, David E. Tunkel

Research output: Contribution to journalArticle

472 Citations (Scopus)

Abstract

This evidence-based clinical practice guideline is a revision of the 2004 acute otitis media (AOM) guideline from the American Academy of Pediatrics (AAP) and American Academy of Family Physicians. It provides recommendations to primary care clinicians for the management of children from 6 months through 12 years of age with uncomplicated AOM. In 2009, the AAP convened a committee composed of primary care physicians and experts in the fields of pediatrics, family practice, otolaryngology, epidemiology, infectious disease, emergency medicine, and guideline methodology. The subcommittee partnered with the Agency for Healthcare Research and Quality and the Southern California Evidence-Based Practice Center to develop a comprehensive review of the new literature related to AOM since the initial evidence report of 2000. The resulting evidence report and other sources of data were used to formulate the practice guideline recommendations. The focus of this practice guideline is the appropriate diagnosis and initial treatment of a child presenting with AOM. The guideline provides a specific, stringent definition of AOM. It addresses pain management, initial observation versus antibiotic treatment, appropriate choices of antibiotic agents, and preventive measures. It also addresses recurrent AOM, which was not included in the 2004 guideline. Decisions were made on the basis of a systematic grading of the quality of evidence and benefit-harm relationships. The practice guideline underwent comprehensive peer review before formal approval by the AAP. This clinical practice guideline is not intended as a sole source of guidance in the management of children with AOM. Rather, it is intended to assist primary care clinicians by providing a framework for clinical decision-making. It is not intended to replace clinical judgment or establish a protocol for all children with this condition. These recommendations may not provide the only appropriate approach to the management of this problem.

Original languageEnglish (US)
JournalPediatrics
Volume131
Issue number3
DOIs
StatePublished - Mar 2013
Externally publishedYes

Fingerprint

Otitis Media
Practice Guidelines
Guidelines
Pediatrics
Evidence-Based Practice
Primary Health Care
Infectious Disease Medicine
Anti-Bacterial Agents
Peer Review
Family Practice
Emergency Medicine
Information Storage and Retrieval
Health Services Research
Family Physicians
Otolaryngology
Primary Care Physicians
Pain Management
Epidemiology
Observation
Therapeutics

Keywords

  • Acute otitis media
  • Antibiotic prophylaxis
  • Antibiotics
  • Breastfeeding
  • Immunization
  • Otitis media
  • Otitis media with effusion
  • Otoscopy
  • Tympanostomy tube insertion
  • Watchful waiting

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Arts and Humanities (miscellaneous)

Cite this

Lieberthal, A. S., Carroll, A. E., Chonmaitree, T., Ganiats, T. G., Hoberman, A., Jackson, M. A., ... Tunkel, D. E. (2013). The diagnosis and management of acute otitis media. Pediatrics, 131(3). https://doi.org/10.1542/peds.2012-3488

The diagnosis and management of acute otitis media. / Lieberthal, Allan S.; Carroll, Aaron E.; Chonmaitree, Tasnee; Ganiats, Theodore G.; Hoberman, Alejandro; Jackson, Mary Anne; Joffe, Mark D.; Miller, Donald T.; Rosenfeld, Richard M.; Sevilla, Xavier D.; Schwartz, Richard H.; Thomas, Pauline A.; Tunkel, David E.

In: Pediatrics, Vol. 131, No. 3, 03.2013.

Research output: Contribution to journalArticle

Lieberthal, AS, Carroll, AE, Chonmaitree, T, Ganiats, TG, Hoberman, A, Jackson, MA, Joffe, MD, Miller, DT, Rosenfeld, RM, Sevilla, XD, Schwartz, RH, Thomas, PA & Tunkel, DE 2013, 'The diagnosis and management of acute otitis media', Pediatrics, vol. 131, no. 3. https://doi.org/10.1542/peds.2012-3488
Lieberthal AS, Carroll AE, Chonmaitree T, Ganiats TG, Hoberman A, Jackson MA et al. The diagnosis and management of acute otitis media. Pediatrics. 2013 Mar;131(3). https://doi.org/10.1542/peds.2012-3488
Lieberthal, Allan S. ; Carroll, Aaron E. ; Chonmaitree, Tasnee ; Ganiats, Theodore G. ; Hoberman, Alejandro ; Jackson, Mary Anne ; Joffe, Mark D. ; Miller, Donald T. ; Rosenfeld, Richard M. ; Sevilla, Xavier D. ; Schwartz, Richard H. ; Thomas, Pauline A. ; Tunkel, David E. / The diagnosis and management of acute otitis media. In: Pediatrics. 2013 ; Vol. 131, No. 3.
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