Abstract

CASTILLO MARTIN, F. del et al. Consensus document on the aetiology, diagnosis and treatment of acute otitis media. Rev Pediatr Aten Primaria [online]. 2012, vol.14, n.55, pp.195-205. ISSN 1139-7632.  https://dx.doi.org/10.4321/S1139-76322012000400002.

We present the consensus document on acute otitis media (AOM) written by the Spanish Society of Pediatric Infectology (SEIP), the Spanish Society of Outpatient and Primary Care Pediatrics (SEPEAP), the Spanish Society of Pediatric Emergency Care (SEUP) and the Spanish Association of Primary Care Pediatrics (AEPAP). The document analyses the etiology of the disease and the possible shifts in it following the introduction of the 7-valent, 10-valent, and 13-valent pneumococcal vaccines. The document proposes diagnosing AOM as confirmed or probable. The AOM diagnosis is considered confirmed if three criteria are met: acute onset, signs of fluid in the middle ear (or otorrhea), and symptoms of inflammation, such as otalgia or marked erythema in the middle ear, and considered probable when only two of these criteria are met. The proposed first choice for antibiotic treatment is 80 mg/kg/day of amoxicillin administered orally in doses at eight hour intervals. Treatment with amoxicillin-clavulanic acid in doses of 80 mg/kg/day are indicated in children younger than six months, in infants with a severe presentation (fever >39 ^oC or acute pain), when there is a family history of AOM sequelae, or in cases of amoxicillin treatment failure.

Keywords : Acute otitis media; Amoxicillin; Etiology; Symptomatology.

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