From the Department of Microbiology and Immunology, Elmwood Pediatric Group, University of Rochester Medical Center, Rochester, NY.
Too often, acute otitis media (AOM) is overdiagnosed, and too often,
unnecessarily long antibiotic therapies are prescribed. Faced with the challenge
of increasing resistance among bacterial pathogens causing AOM,1,2
an increased awareness that antibiotic treatment of AOM can provide important
benefits to patients, but that spontaneous improvement also can occur,3,4 and calls to curtail and more judiciously
use antibiotics for this common clinical condition5
signal it is time for change.
Pichichero ME. Changing the Treatment Paradigm for Acute Otitis Media in Children. JAMA. 1998;279(21):1748-1750. doi:10.1001/jama.279.21.1748