Interventions for children with ear discharge occurring at least two weeks following grommet (ventilation tube) insertion

Venekamp, Roderick P; Javed, Faisal; Dongen, Thijs Ma van; Waddell, A. W.; Schilder, Anne G. M.

doi:10.1002/14651858.cd011684.pub2

Cited by 19 publications

(24 citation statements)

References 31 publications

(1 reference statement)

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“…The van Dongen et al ’s trial also included secondary outcomes based on parent diaries (patient reported outcome). The authors of this study have previously published evidence demonstrating good agreement between parents and physicians in the assessment of discharge after treatment of acute tympanostomy tube otorrhoea 16. This would imply that the primary outcome used and response rates noted are likely to correlate with everyday clinical practice when otosocopy may not be readily performed.…”

Section: Commentarymentioning

confidence: 82%

Question 1: Are topical or oral antibiotics best for treating tympanostomy tube otorrhoea?

et al. 2017

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Section: Commentarymentioning

confidence: 82%

Question 1: Are topical or oral antibiotics best for treating tympanostomy tube otorrhoea?

et al. 2017

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“…Google and Google Scholar were the only search engines reported. Both search engines were reported in 7 reviews [27][28][29][30][31][32][33] ; Google was reported as the sole search engine in 4 reviews (11 reviews in total) [34][35][36][37] ; Google Scholar was reported as the sole search engine in 12 reviews (19 reviews in total) 25,[38][39][40][41][42][43][44][45][46][47][48] ; and an unnamed search engine was reported in 1 review. 26 Of the 5 reviews that reported the total number of results or the number that was screened, 2 reviews reported the total number of results 27,40 and 3 reviews reported the number that was screened.…”

Section: Additional Details Reported About Search Enginesmentioning

confidence: 99%

A review of the reporting of web searching to identify studies for Cochrane systematic reviews

Briscoe

2017

Research Synthesis Methods

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The literature searches that are used to identify studies for inclusion in a systematic review should be comprehensively reported. This ensures that the literature searches are transparent and reproducible, which is important for assessing the strengths and weaknesses of a systematic review and re-running the literature searches when conducting an update review. Web searching using search engines and the websites of topically relevant organisations is sometimes used as a supplementary literature search method. Previous research has shown that the reporting of web searching in systematic reviews often lacks important details and is thus not transparent or reproducible. Useful details to report about web searching include the name of the search engine or website, the URL, the date searched, the search strategy, and the number of results. This study reviews the reporting of web searching to identify studies for Cochrane systematic reviews published in the 6-month period August 2016 to January 2017 (n = 423). Of these reviews, 61 reviews reported using web searching using a search engine or website as a literature search method. In the majority of reviews, the reporting of web searching was found to lack essential detail for ensuring transparency and reproducibility, such as the search terms. Recommendations are made on how to improve the reporting of web searching in Cochrane systematic reviews.

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“…OME is one of the most common conditions affecting all children. It has been the subject of large number of clinical trials and systematic reviews (Table ) . Accurate incidence and prevalence data are difficult to attain (because OME may be present for short periods then resolve spontaneously).…”

Section: Ent Responsementioning

confidence: 99%

“…Following the water precautions recommended by the surgical team may reduce risk. If the ears do discharge, Jimmy should commence oto‐topical antibiotic drops . Cleaning the pus out of the ear canal may be necessary, so the antibiotic can get to the site of infection.…”

Section: Complications Of Tympanostomy Tubesmentioning

confidence: 99%

“…It does not matter whether these drops contain steroids or not (and ciprofloxacin‐steroid drops can sting the ear a little). Ear drops provide a much higher concentration of antibiotics at the site of infection and are much more effective than oral antibiotics . After the drops have finished, Jimmy should have a check‐up at the health clinic to ensure that the discharge has completely settled – the main reason for lingering aural discharge is incomplete resolution of the initial infection.…”

Section: Complications Of Tympanostomy Tubesmentioning

confidence: 99%

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Ear, nose and throat surgery: All you need to know about the surgical approach to the management of middle‐ear effusions in Australian Indigenous and non‐Indigenous children

Kong

Lannigan

Morris

et al. 2017

J Paediatrics Child Health

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Otitis media (OM) is a common condition in Australia. It represents a spectrum of diseases from otitis media with effusion (OME) to chronic suppurative otitis media. For all the OM diagnoses, Australian Indigenous children have higher rates of early onset, severe and persistent disease. OME is the most common form of OM and often occurs after an upper respiratory tract infection. It can be difficult to diagnose (and often goes unrecognised). Hearing loss is the most important complication. The middle-ear effusion impedes the movement of the tympanic membrane and causes a conductive hearing loss of around 25 dB. Around 20% will have a hearing loss exceeding 35 dB. Children with early onset, persistent, bilateral OME and hearing loss (or speech delay) are most likely to benefit from interventions. However, the impact of all the effective treatment options is modest. Giving advice about effective communication strategies for young children is always appropriate. The best evidence from randomised trials supports not using antihistamines and/or decongestants, considering a trial of antibiotics and referral for tympanostomy tubes. Despite the availability of evidence-based guidelines, giving advice about treatment is a challenge because recommendations vary according to condition, age, risk of complications and parental preference. While most children with OME can be effectively managed in primary care, we need to get children who meet the criteria for simple ear, nose and throat procedures that improve hearing on to ear, nose and throat surgery waiting lists. Long delays in hearing support may contribute to life-long social and economic disadvantage.

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Interventions for children with ear discharge occurring at least two weeks following grommet (ventilation tube) insertion

Abstract: Interventions for children with ear discharge occurring at least two weeks following grommet (ventilation tube) insertion.

Cited by 19 publications

References 31 publications

Question 1: Are topical or oral antibiotics best for treating tympanostomy tube otorrhoea?

Question 1: Are topical or oral antibiotics best for treating tympanostomy tube otorrhoea?

A review of the reporting of web searching to identify studies for Cochrane systematic reviews

Ear, nose and throat surgery: All you need to know about the surgical approach to the management of middle‐ear effusions in Australian Indigenous and non‐Indigenous children

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