caa a22 4500 47706874X CHVBK 20180405111419.0 cr unu---uuuuu 170330e19960701xx s 000 0 eng 10.1007/BF02905713 doi (NATIONALLICENCE)springer-10.1007/BF02905713 Chaudhary Subhash Department of Pediatrics, School of Medicine, Southern Illinois University, Springfield, IL, USA aut Do we need to treat otitis media? [Elektronische Daten] [Subhash Chaudhary] Abstracts: Otitis media is a common pediatric problem. It is well established that over half of infants and children with acute otitis media may have spontaneous recovery. Since it is difficult to predict the course (self-limited versus serious disease) all the children with acute suppurative otitis media need to be treated with antibiotics. Amoxicillin is still the initial antibiotic of choice. There are several alternate antibiotics available with activity against beta-lactamase positive bacteria. These agents have no advantage over amoxicillin in infections due to penicillin resistant pneumococci. Recent use of beta-lactam antibiotics and/or attendance in a day care where there is frequent use of antibiotics are predisposing factors for penicillin resistant pneumococcal infection. In such cases after tympanocentesis, higher dose of amoxicillin, clindamycin or intramuscular ceftriaxone should be considered. Secretory otitis media does not need to be treated with antibiotics unless the patient is in high risk group. Prophylactic use of antibiotics should be actively discouraged. Influenza and pneumococcal vaccination (2 years or older) should be encouraged in children with recurrent episodes of acute otitis media. Breast feeding should be encouraged. Dr. K C Chaudhuri Foundation, 1996 Otitis media nationallicence Acute otitis media nationallicence Otitis media with effusion nationallicence Penicillin resistant pneumococci nationallicence The Indian Journal of Pediatrics Springer India 63/4(1996-07-01), 433-436 0019-5456 63:4<433 1996 63 12098 https://doi.org/10.1007/BF02905713 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02905713 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Chaudhary Subhash Department of Pediatrics, School of Medicine, Southern Illinois University, Springfield, IL, USA aut NATIONALLICENCE 773 0- The Indian Journal of Pediatrics Springer India 63/4(1996-07-01), 433-436 0019-5456 63:4<433 1996 63 12098 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer