Ken Kitamura1, Yukiko Iino2, Yosuke Kamide3, Fumiyo Kudo4, Takeo Nakayama5, Kenji Suzuki6, Hidenobu Taiji7, Haruo Takahashi8, Noboru Yamanaka9, Yoshifumi Uno10. 1. Department of Otolaryngology, Chigasaki Central Hospital, Japan. 2. Department of Otolaryngology, Jichi Medical University Saitama Medical Center, Japan. 3. Kamide ENT Clinic, Shizuoka, Japan. 4. Department of Nutrition, Faculty of Health Care Science, Chiba Prefectural University of Health Sciences, Japan. 5. Department of Health Informatics, Kyoto University Graduate School of Medicine, Japan. 6. Department of Otolaryngology, Banbuntane Houtokukai Hospital, Fujita Health University School of Medicine, Japan. 7. Department of Otorhinolaryngology, Saiseikai Central Hospital, Tokyo, Japan. 8. Department of Otolaryngology - Head and Neck Surgery, Nagasaki University Graduate School of Biomedical Sciences, Japan. Electronic address: htak0831@nagasaki-u.ac.jp. 9. Department of Otolaryngology - Head & Neck Surgery, Wakayama Medical University, Japan. 10. UNO ENT Clinic, Okayama, Japan.
Abstract
OBJECTIVE: To (1) indicate methods of diagnosis and testing for childhood (<15 years) acute otitis media (AOM) and (2) recommend methods of treatment in accordance with the evidence-based consensus reached by the Subcommittee of Clinical Practice Guideline for Diagnosis and Management of AOM in Children (Subcommittee of Clinical Practice Guideline), in light of the causative bacteria and their drug sensitivity of AOM in Japan. METHODS: We investigated the most recently detected bacteria causing childhood AOM in Japan as well as antibacterial sensitivity and the worldwide distinct progress of vaccination, produced Clinical Questions concerning the diagnosis, testing methods, and treatment of AOM, searched literature published during 2000-2004, and issued the 2006 Guidelines. In the 2009 and 2013 Guidelines, we performed the same investigation with the addition of literature, which were not included in the 2006 Guidelines and published during 2005-2008 and during 2009-2012, respectively. RESULTS: We categorized AOM as mild, moderate, or severe on the basis of tympanic membrane findings and clinical symptoms, and presented recommended treatment for each degree of severity. CONCLUSION: Accurate assessment of tympanic membrane findings is important for judging the degree of severity and selecting a method of treatment. Some of new antimicrobial agents and pneumococcal vaccination are recommended as new treatment options.
OBJECTIVE: To (1) indicate methods of diagnosis and testing for childhood (<15 years) acute otitis media (AOM) and (2) recommend methods of treatment in accordance with the evidence-based consensus reached by the Subcommittee of Clinical Practice Guideline for Diagnosis and Management of AOM in Children (Subcommittee of Clinical Practice Guideline), in light of the causative bacteria and their drug sensitivity of AOM in Japan. METHODS: We investigated the most recently detected bacteria causing childhood AOM in Japan as well as antibacterial sensitivity and the worldwide distinct progress of vaccination, produced Clinical Questions concerning the diagnosis, testing methods, and treatment of AOM, searched literature published during 2000-2004, and issued the 2006 Guidelines. In the 2009 and 2013 Guidelines, we performed the same investigation with the addition of literature, which were not included in the 2006 Guidelines and published during 2005-2008 and during 2009-2012, respectively. RESULTS: We categorized AOM as mild, moderate, or severe on the basis of tympanic membrane findings and clinical symptoms, and presented recommended treatment for each degree of severity. CONCLUSION: Accurate assessment of tympanic membrane findings is important for judging the degree of severity and selecting a method of treatment. Some of new antimicrobial agents and pneumococcal vaccination are recommended as new treatment options.
Authors: Attilio Varricchio; Ignazio La Mantia; Francesco Paolo Brunese; Giorgio Ciprandi Journal: Ital J Pediatr Date: 2020-02-10 Impact factor: 2.638
Authors: Respati W Ranakusuma; Yupitri Pitoyo; Eka D Safitri; Sarah Thorning; Elaine M Beller; Sudigdo Sastroasmoro; Chris B Del Mar Journal: Cochrane Database Syst Rev Date: 2018-03-15