ChiroACCESS Clinical Review

Otitis Media: Prevention

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Lead Author(s): 

Dwain M. Daniel, D.C.


How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)

Published on

April 2, 2008

Text Size:     
The American Academy of Pediatrics has expressed concern with the rising rates of antibacterial resistant pathogens and resultant use of more expensive and broader spectrum antibiotics for the treatment of otitis media (OM). As a result they have issued recommendations intended to reduce the amount of antibiotics prescribed. It appears these recommendations have had little effect on prescription patterns between 1995 and 2000 (1). One answer to reducing antibiotic therapy would be to reduce the number of children who develop acute otitis media (AOM) through prevention strategies. Several risk factors have been identified in the literature. Although some of these prevention strategies do not have large clinical trials demonstrating effectiveness, the evidence available has been repeated in multiple studies and appears promising.

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