Sir.—I read with interest the article "Acute Otitis Media: One Year in General Pediatric Practice" by Howie and Schwartz in the February issue of the AJDC (1983;137:155-158). Since a febrile response was observed in only 26% of the children and 24% did not have pain, and no significant differences were noted between the results of different treatments by Howie and Schwartz as reported previously,1 I would like to ask, what criteria were used for the diagnosis of otitis media?
The improvement of 92 children with radiologic evidence of acute sinusitis who received various antibiotics did not differ between the antibiotic regimens.2 My colleagues and I have used only a saline nasal "washing" (four dropperfuls of saline to each nostril at least five times daily), with success in the treatment of 25 children with sinusitis for ten days in whom the diagnosis was established by radiologic examination.
OZSOYLU S. Acute Otitis Media. Am J Dis Child. 1983;137(12):1213. doi:10.1001/archpedi.1983.02140380071031