RECENT GUIDELINES ON THE
MANAGEMENT OF SECRETORY OTITIS MEDIA
Secretory otitis media is defined
as the inflammation of middle ear mucosa, often as a result of obstruction of
the eustachian tube and accompanied by accumulation of fluid.It is also known
as serous otitis,
glue ear or silent ear infection. Symptoms include partial hearing loss,
behavioral problems due to the frustration at being unable to hear well.
2013 revisions for management of otitis media
include:
Antibiotics should be given for severe cases of bilateral or
unilateral acute otitis media for children >6 months based on ear pain that is moderate or severe,
lasts for at least 48 hours, or is accompanied by a temperature of >102.2°F.
In less severe
cases, watchful waiting could be offered instead of antibiotics unless both
ears are affected in kids aged 6–23 months.
Recurrent acute
otitis media is defined as three episodes in six months or four episodes in the
prior year with one in the past six months.Prophylactic antibiotics should not
be prescribed to reduce recurrences. Instead, these children may be offered the
option of tympanostomy tubes.
Amoxicillin remains
the first-line agent; drugs that have additional beta-lactamase coverage are
selected for kids who have already had it in the prior month.
REFERENCE
BelsyBoban and
Augustine Xavier, Pharm D 4th year.
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