To the Editor In the From the JAMA Network commentary1 on a trial of antibiotics for children with acute otitis media in Finland,2 Dr Pichichero suggested that the pendulum should move from the current recommendations of the American Academy of Pediatrics for watchful waiting before prescribing antibiotics back toward their greater use of the past. We have 3 reasons for disagreeing.
Del Mar C, Venekamp RP, Sanders S. Antibiotics for Children With Acute Otitis Media. JAMA. 2015;313(15):1574-1575. doi:10.1001/jama.2015.3080