PEDIATRICS Vol. 98 No. 5 November 1996, pp. 968-971
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The Natural History of a Treated Episode of Acute Otitis Media

Glenn Isaacson MD, FAAP, FACS1

1 Temple Pediatric Otolaryngology, St Christopher's Hospital for Children, Philadelphia, PA 19134-1095

The accurate diagnosis of acute otitis media is difficult, especially in its early hours. The vague symptoms and subtle physical signs of early otitis lead the practitioner to make too many diagnoses by default and to issue too much treatment out of caulion. With the growth of resistant organisms limiting the effectiveness of safe, low-cost antibiotics, there is increasing pressure to prescribe antibiotics more sparingly.1-3 Thus, the accurate diagnosis of otitis media is more important than ever.

To correctly diagnose acute otitis media the pediatrician must know what it looks like, not only in its early hours, but throughout the course of infection.

Submitted on November 1, 1995
Accepted on December 21, 1995




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S. F. Dowell, S. M. Marcy, W. R. Phillips, M. A. Gerber, and B. Schwartz
Otitis Media---Principles of Judicious Use of Antimicrobial Agents
Pediatrics, January 1, 1998; 101(1): 165 - 171.
[Abstract] [Full Text] [PDF]