Consenso Nacional sobre otitis media aguda

Castillo, Fernando del; Rubio, Alfonso Delgado; Liria, C. Rodrigo Gonzalo de; Cervera, Jaime; Villafruela, Miguel; Picazo, J.J.

doi:10.1157/13107396

Cited by 14 publications

(43 citation statements)

References 51 publications

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“…To better approach the diagnosis (and then the management) of AOM, we must define otitis media as the presence of exudate in the middle ear cavity 19 . Depending on the presenting history and the characteristics of the exudate, it can be distinguished into:…”

Section: Definition Of Clinical Formsmentioning

confidence: 99%

“…Nevertheless, the strict application of these criteria may leave cases of AOM undiagnosed, so in 2007 the consensus document on AOM of the Spanish Association of Pediatrics and Otorhinolaryngology 19 specified that the diagnosis be "confirmed AOM" when all three criteria are met, but if there is only evidence of otalgia and it is not possible to perform an otoscopy (if, for example, there is a manifest technical difficulty or cerumen that cannot be extracted) or, on the contrary, the otoscopy is very significant but the otalgia is not clear or confirmed (due to the age of the child, uncertainty of the family members, etc), the consensus proposes that the diagnosis be "probable AOM". And if it is accompanied by a recent catarrh of the upper respiratory tracts, along with factors indicating a poor prognosis (AOM in a child younger than six months, relapsing or recurrent AOM, first-degree family history of middle ear sequelae due to AOM) probable AOM will be treated as a "confirmed AOM".…”

Section: Diagnostic Criteria For Acute Otitis Mediamentioning

confidence: 99%

“…Oral treatment with ibuprofen or paracetamol at the usual doses is usually enough, although ibuprofen has shown better results due to its double analgesic and anti-inflammatory activity 1 . If there is no response to treatment and the pain is intense, the practitioner must consider doing a tympanocentesis 19 .…”

Section: Treatment Of Acute Otitis Media Symptom Managementmentioning

confidence: 99%

“…When taking this approach, the physician must be sure that he will be able to follow up with the patient 1,19,25 .…”

Section: Antibiotic Treatment or The Watchful Waiting Approachmentioning

confidence: 99%

“…There is evidence (IA) that certain groups of children benefit from immediate antimicrobial treatment following diagnosis due to their higher risk for a poor outcome and the better response to antibiotic treatment shown in severe cases of AOM 19,[37][38][39][40] :…”

Section: Groups At Risk For a Poor Outcome: Immediate Antibiotic Treamentioning

confidence: 99%

See 4 more Smart Citations

Documento de consenso sobre etiología, diagnóstico y tratamiento de la otitis media aguda

Martín¹,

Baquero-Artigao²,

Cabrera³

et al. 2012

Rev Pediatr Aten Primaria

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Section: Definition Of Clinical Formsmentioning

confidence: 99%

Section: Diagnostic Criteria For Acute Otitis Mediamentioning

confidence: 99%

Section: Treatment Of Acute Otitis Media Symptom Managementmentioning

confidence: 99%

“…When taking this approach, the physician must be sure that he will be able to follow up with the patient 1,19,25 .…”

Section: Antibiotic Treatment or The Watchful Waiting Approachmentioning

confidence: 99%

Section: Groups At Risk For a Poor Outcome: Immediate Antibiotic Treamentioning

confidence: 99%

See 3 more Smart Citations

Documento de consenso sobre etiología, diagnóstico y tratamiento de la otitis media aguda

Martín¹,

Baquero-Artigao²,

Cabrera³

et al. 2012

Rev Pediatr Aten Primaria

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Poor adherence to antibiotic prescribing guidelines in acute otitis media—obstacles, implications, and possible solutions

Haggard

2010

Eur J Pediatr

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Many countries now have guidelines on the clinical management of acute otitis media. In almost all, the public health goal of containing acquired resistance in bacteria through reduced antibiotic prescribing is the main aim and basis for recommendations. Despite some partial short-term successes, clinical activity databases and opinion surveys suggest that such restrictive guidelines are not followed closely, so this aim is not achieved. Radical new solutions are needed to tackle irrationalities in healthcare systems which set the short-term physician–patient relationship against long-term public health. Resolving this opposition will require comprehensive policy appraisal and co-ordinated actions at many levels, not just dissemination of evidence and promotion of guidelines. The inappropriate clinical rationales that underpin non-compliance with guidelines can be questioned by evidence, but also need specific developments promoting alternative solutions, within a framework of whole-system thinking. Promising developments would be (a) physician training modules on age-appropriate analgesia and on detection plus referral of rare complications like mastoiditis, and (b) vaccination against the most common and serious bacterial pathogens.

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Effects of Mediterranean diet in patients with recurring colds and frequent complications

Calatayud

Gallego

et al. 2017

Allergologia et Immunopathologia

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Consenso Nacional sobre otitis media aguda

Cited by 14 publications

References 51 publications

Documento de consenso sobre etiología, diagnóstico y tratamiento de la otitis media aguda

Documento de consenso sobre etiología, diagnóstico y tratamiento de la otitis media aguda

Poor adherence to antibiotic prescribing guidelines in acute otitis media—obstacles, implications, and possible solutions

Effects of Mediterranean diet in patients with recurring colds and frequent complications

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