Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.
To the Editor: Dr Paradise1 did
not mention a randomized controlled trial2 that
found that immediate antibiotic use reduced the duration of AOM symptoms,
but the benefit occurred mainly after the first 24 hours, when pain or distress
was diminishing anyway.
Mascitelli L, Pezzetta F. Recurrent Otitis Media in ChildrenRecurrent Otitis Media in Children. JAMA. 2003;289(11):1382-1385. doi:10.1001/jama.289.11.1382-a