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Antibiotic treatment vs. watchful waiting in non severe acute otitis media

Antibiotic treatment vs. watchful waiting in non severe acute otitis media: a retrospective study from an emergency department

Mintegi Raso S, Benito Fernández J, Hernández Fabián A, De la Fuente Diez I, García González S, Mora Fernández E. Ital J Pediatr 2007;33:17-21

Objective.
To evaluate the impact on antibiotic prescriptions for Acute Otitis Media (AOM) in the in Pediatric Emergency Department (PED), of the introduction of the observation option for selected patients younger than 14 years with uncomplicated AOM.

Methods.
Retrospective study of those children aged younger than 14 years diagnosed with AOM, in the PED of a tertiary teaching hospital in the Basque Country, in the month of October between 2001 and 2005. Demographic data and treatments received were recorded. In the patients diagnosed with AOM in 2005, a follow-up telephone call was made 7-10 days after being discharged from the PED.

Results.
During the study period we registered 1019 episodes corresponding to children with AOM, 359 (35.2%) of whom were younger than two years. One hundred children (9.9%) were already receiving antibiotics before attending the PED and were excluded, so in total, 919 children were included in the study.

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Antibiotic treatment vs. watchful waiting in non severe acute otitis media