Medical Literature Oral Presentation
Transcript: Clinical Case 2yo child presents to your outpatient clinic with his parents. He has had 1 day of fussiness, decreased PO intake and pulling of his L ear. Clinical questions P-children with AOM I- course of antibiotics C- vs watchful waiting O- decreased OMTF or RAOM PubMed search Mesh otitis media limits: last 1 yr child (0-18yrs) english human Evidence Treatment recommendations: Jan 2010-watchful waiting for most children (1, 2, 6, 7) Fall 2011- delayed antibiotics for first documented AOM (3, 4) Jan 2011- documented benefit associated with antimicrobial treatment compared with placebo (8) most antibiotics have comparable success (5) EBM resources DARE Cochrane Grade-A ACP PIER Grade-B PubMed Clinical Queries Grade-A Innovative research tools (my new best friends) My NCBI DARE Cochrane MESH References 1. Coker, T.R., et al., Diagnosis, microbial epidemiology, and antibiotic treatment of acute otitis media in children: a systematic review. JAMA, 2010. 304(19): p. 2161-9. 2. Grossman, Z., et al., Implementing the delayed antibiotic therapy approach significantly reduced antibiotics consumption in Israeli children with first documented Acute otitis media. Pediatr Infect Dis J, 2010. 29(7): p. 595-9. 3. Grubb, M.S. and D.C. Spaugh, Treatment failure, recurrence, and antibiotic prescription rates for different acute otitis media treatment methods. Clin Pediatr (Phila), 2010. 49(10): p. 970-5. 4. Hoberman, A., et al., Treatment of acute otitis media in children under 2 years of age. N Engl J Med, 2011. 364(2): p. 105-15. 5. Klein, J.O., Is acute otitis media a treatable disease? N Engl J Med, 2011. 364(2): p. 168-9. 6. Kozyrskyj, A., et al., Short-course antibiotics for acute otitis media. Cochrane Database Syst Rev, 2010(9): p. CD001095. 7. Stevanovic, T., et al., Acute otitis media: to follow-up or treat? Int J Pediatr Otorhinolaryngol, 2010. 74(8): p. 930-3. 8. Tahtinen, P.A., et al., A placebo-controlled trial of antimicrobial treatment for acute otitis media. N Engl J Med, 2011. 364(2): p. 116-26. 9. Vergison, A., et al., Otitis media and its consequences: beyond the earache. Lancet Infect Dis, 2010. 10(3): p. 195-203.