Acute Otitis Media CPG questionnaire
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1. Clinicians should diagnose acute otitis media (AOM) in children who present with moderate to severe bulging of the tympanic membrane (TM) or new onset of otorrhea not due to acute otitis externa.
Yes
No
2. Clinicians should diagnose AOM in children who present with mild bulging of the TM and recent (less than 48 hours) onset of ear pain (holding, tugging, rubbing of the ear in a nonverbal child) or intense erythema of the TM.
Yes
No
3. Clinicians should diagnose AOM in children only in the presence of middle ear effusion (MEE) (based on pneumatic otoscopy and/or tympanometry).
Yes
No
4. The management of AOM should include an assessment of pain. Analgesics should be prescribed whenever needed.
Yes
No
5. Antibiotics should be prescribed to all children with severe AOM. (Severe AOM is considered when a child has moderate or severe otalgia or otalgia for at least 48 hours or temperature 39°C or higher.)
Yes
No
6. Wait and see option could be offered for children with mild AOM. (Mild AOM is described as mild otalgia for less than 48 hours and temperature less than 39°C.)
Yes
No
7. What is your antibiotic of choice?
a. Amoxicillin
b. Augmented penicillin
c. Ceftriaxone
d. Clarithromycin
8. Do you recommend a follow up within 72 hours to assess the efficacy of the treatment?
Yes
No
9. In children with recurrent AOM, do you recommend prophylactic antibiotics?
Yes
No
10. Do you offer tympanostomy tubes for recurrent AOM?
Yes
No
11. If yes, what is the frequency of recurrence of AOM after which you offer tympanostomy tubes?
a. Less than 3 episodes in six months
b. 3 episodes in 6 months
c. More than 3 episodes in six months
12. Is there any prophylactic role for the pneumococcal vaccine?
Yes
No
13. Do you recommend the seasonal administration of Influenzae vaccine for prevention of AOM?
Yes
No
14. Do you think that encouraging breast feeding for at least six months may reduce the recurrence of AOM?
Yes
No
15. Do you think that improper head position of the child during feeding (breast or bottle) may increase the risk of AOM?
Yes
No
16. Do you think passive smoking has any role in the development of AOM?
Yes
No
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