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165234

Symptomatic treatment versus symptomatic treatment with antibiotics for children with acute otitis media: A randomized clinical trial

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Last updated: 24 Dec 2024

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Abstract

Introduction: Acute otitis media (AOM) is one of the most common infections affecting children. Around 60% of children have had at least one episode of AOM by the age of  4 years. It is also one of the main reasons for antibiotic prescription in children. Many studies have shown that the majority of cases of pediatric AOM resolve spontaneously without antibiotics. Undue use of antibiotics is considered one of the leading causes of antibiotic resistance. Besides the added cost, antibiotics also have their inherited risk of side effects, including vomiting, diarrhea, and rash.
Methods: A randomized clinical trial on 102 children-normal kids- aged 2-12 years with AOM to compare the results of using symptomatic treatment only with those using both symptomatic treatment plus antibiotic.
Results: On the 3rd day of treatment, there was statistically significant better control of pain and fever in the antibiotic group. There was no statistically significant difference by the 8th day of treatment. Tympanometric findings by the end of the 3rd week were very much similar in both groups. No complications of AOM or side effects of drugs under study were reported.
Conclusion: Immediate antibiotic use to treat children with AOM who are otherwise normal may provide one or 2 days of earlier control of ear pain and fever in some children. A few days later –by the 8th day- the effect of symptomatic treatment and symptomatic treatment plus antibiotic was similar with no increased incidence of complications.
 

DOI

10.21608/ejnso.2021.165234

Keywords

AOM, conservative treatment, antibiotics, Pediatrics, Otitis media

Authors

First Name

Hamza

Last Name

Ahmed

MiddleName

El-shafaai

Affiliation

Otorhinolaryngology, Faculty of Medicine- Assiut University, Egypt.

Email

hamzash@aun.edu.eg

City

-

Orcid

-

First Name

Ahmed

Last Name

AbdelWahab

MiddleName

AbdelAleem

Affiliation

Otorhinolaryngology, Faculty of Medicine- Assiut University, Egypt

Email

abduleen@aun.edu.eg

City

-

Orcid

-

First Name

Ahmed

Last Name

Abdel Hameeed

MiddleName

Gamal

Affiliation

Otorhinolaryngology Department , Students Hospital, Assiut University, Egypt

Email

-

City

-

Orcid

-

Volume

7

Article Issue

1

Related Issue

24886

Issue Date

2021-05-01

Receive Date

2021-04-20

Publish Date

2021-05-01

Page Start

1

Page End

9

Print ISSN

2314-890X

Online ISSN

2314-8918

Article File

EJNSO_Volume 7_Issue 1_Pages 1-9.pdf

PDF . 319.9kB

Link

https://ejnso.journals.ekb.eg/article_165234.html

Detail API

https://ejnso.journals.ekb.eg/service?article_code=165234

Order

1

Type

Original Article

Type Code

1,045

Publication Type

Journal

Publication Title

Egyptian Journal of Neck Surgery and Otorhinolaryngology

Publication Link

https://ejnso.journals.ekb.eg/

MainTitle

Symptomatic treatment versus symptomatic treatment with antibiotics for children with acute otitis media: A randomized clinical trial

Details

Type

Article

Created At

22 Jan 2023