Recurrent acute otitis media: a survey of current management in England

Abstract

Objective Recurrent acute otitis media is common in children. The preferred treatment measures for recurrent acute otitis media have a mixed evidence base. This study sought to assess baseline practice across ENT departments in England. Methods A national telephone survey of healthcare staff was conducted. Every ENT centre in England was contacted. A telephone script was used to ask about antibiotic and grommet use and duration in recurrent acute otitis media cases. Results Ninety-six centres (74 per cent) provided complete information. Recurrent acute otitis media treatment across England by ENT departments varied. The antibiotic first- and second-line prophylaxis offered varies, with trimethoprim used in 33 centres and 29 centres not offering any antibiotics. The timing or choice about when to use grommets also varies, but 87 centres (91 per cent) offer grommet surgery at one stage. Conclusion The treatments received by children in England for recurrent acute otitis media vary by centre; collaborative research in this area is advised.

Pengembangan dan Validasi Metode Bioanalisis Trimetoprim dalam Sampel Plasma dan Urin Manusia Simulasi Menggunakan KCKT-PDA

“…1,2,3 TMP dalam bentuk tunggal sebagai antibiotik profilaksis terbukti efektif dalam mencegah kekambuhan pada infeksi saluran kemih pada pasien lansia 4 dan otitis media akut pada anak-anak. 5 Selain itu, TMP direkomendasikan untuk mengobati infeksi saluran kemih pada pria dewasa. 6 Meskipun dianggap relatif lebih aman daripada KTZ, namun TMP memiliki beberapa efek samping yang tidak dikehendaki antara lain hiperkalemia hingga gagal ginjal.…”

Clinical retrospective study on the efficacy and safety of endoscopic ear surgery for adhesive otitis media

“…Fibrosis and adhesions are common sequelae of otitis media, which can lead to malperfusion of the middle ear, negative pressure in the tympanic chamber, fluid accumulation in the middle ear, invagination of the tympanic membrane and adhesion to the tympanic capsule and anvil, proliferation and chemosis of the middle ear mucosa, granulation formation, and eventually adhesions. It is often complicated by middle ear diseases, such as middle ear cholesteatoma, middle ear cholesterol granuloma, and tympanosclerosis, and patients often have nasal disorders, such as dysphagia, chronic sinusitis with/without nasal polyps, allergic rhinitis, and nasopharyngeal lesions ( 1 , 8 , 9 ).…”