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- W2040707100 abstract "There is much disagreement about diagnostic criteria and optimum treatment for acute otitis media (OM). From a practice audit of the management of OM, we went on to develop and test a protocol in which we defined criteria for the diagnosis and treatment of this disorder. In a two-year study of 168 children aged 0-16 years with acute OM (and confirmed in a second study of another 62 children during the following year), we found that the main feature of otitis media is intense pain in the ear and is accompanied in 90% of cases by upper respiratory tract infection (URTI) at presentation. Hearing loss is common and otorrhoea develops in about 10% of children. Antibiotics, which are prescribed by most physicians, are not needed in the first instance, but we recommend vigorous treatment with analgesics. Supportive measures are similar to those used for the management of URTI. Follow-up evaluation is essential to detect the few refractory cases that must be referred to the specialist." @default.
- W2040707100 created "2016-06-24" @default.
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- W2040707100 date "1991-07-01" @default.
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- W2040707100 title "Recommendations derived from practice audit for the treatment of acute otitis media" @default.
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- W2040707100 doi "https://doi.org/10.1016/0140-6736(91)90086-5" @default.
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