Acute and chronic otitis media.

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  • Author(s): Morris PS;Morris PS; Leach AJ
  • Source:
    Pediatric clinics of North America [Pediatr Clin North Am] 2009 Dec; Vol. 56 (6), pp. 1383-99.
  • Publication Type:
    Journal Article; Review
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: W.B. Saunders Country of Publication: United States NLM ID: 0401126 Publication Model: Print Cited Medium: Internet ISSN: 1557-8240 (Electronic) Linking ISSN: 00313955 NLM ISO Abbreviation: Pediatr Clin North Am Subsets: MEDLINE
    • Publication Information:
      Publication: Philadelphia, PA : W.B. Saunders
      Original Publication: Philadelphia.
    • Subject Terms:
      Otitis Media*/complications ; Otitis Media*/diagnosis ; Otitis Media*/epidemiology ; Otitis Media*/etiology ; Otitis Media*/physiopathology ; Otitis Media*/therapy ; Population Groups*; Respiratory Tract Infections/*complications ; Tympanic Membrane Perforation/*etiology; Acute Disease ; Australia/epidemiology ; Canada/epidemiology ; Child ; Chronic Disease ; Cost of Illness ; Europe/epidemiology ; Evidence-Based Medicine ; Health Services, Indigenous ; Humans ; New Zealand/epidemiology ; Otitis Media with Effusion/complications ; Otitis Media with Effusion/epidemiology ; Otitis Media with Effusion/etiology ; Otitis Media, Suppurative/complications ; Otitis Media, Suppurative/epidemiology ; Otitis Media, Suppurative/etiology ; Severity of Illness Index ; Treatment Outcome ; Tympanic Membrane Perforation/epidemiology ; United States/epidemiology
    • Abstract:
      Otitis media (OM) is a common illness in young children. OM has historically been associated with frequent and severe complications. Nowadays it is usually a mild condition that often resolves without treatment. For most children, progression to tympanic membrane perforation and chronic suppurative OM is unusual (low-risk populations); this has led to reevaluation of many interventions that were used routinely in the past. Evidence from a large number of randomized controlled trials can help when discussing treatment options with families. Indigenous children in the United States, Canada, Northern Europe, Australia, and New Zealand experience more OM than other children. In some places, Indigenous children continue to suffer from the most severe forms of the disease. Communities with more than 4% of the children affected by chronic tympanic membrane perforation have a major public health problem (high-risk populations). Higher rates of invasive pneumococcal disease, pneumonia, and chronic suppurative lung disease (including bronchiectasis) are also seen. These children will often benefit from effective treatment of persistent (or recurrent) bacterial infection.
    • Number of References:
      94
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    • Publication Date:
      Date Created: 20091208 Date Completed: 20091221 Latest Revision: 20220317
    • Publication Date:
      20221213
    • Accession Number:
      PMC7111681
    • Accession Number:
      10.1016/j.pcl.2009.09.007
    • Accession Number:
      19962027