Acute otitis media
Summary
Definición
Anamnesis y examen
Principales factores de diagnóstico
- otalgia
- preceding upper respiratory symptoms
- bulging tympanic membrane
- myringitis
Otros factores de diagnóstico
- irritability
- sleep disturbance
- fever
- decreased appetite
Factores de riesgo
- day care attendance
- older siblings
- young age
- family history
- Native American or Native Alaskan
- male sex
- absence of breastfeeding
- supine feedings (bottle propping)
- pacifier use
- environmental tobacco smoke
- lower socioeconomic status
- craniofacial anomaly
- immunologic deficiency
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- no initial test
Pruebas diagnósticas que deben considerarse
- pneumatic otoscopy
- tympanometry
- acoustic reflectometry
- bacterial culture of middle ear contents
Algoritmo de tratamiento
suspected AOM
confirmed AOM
Colaboradores
Autores
Carlos E. Armengol, MD
Pediatric Associates of Charlottesville PLC
Charlottesville
VA
Divulgaciones
CEA is an author of a reference cited in this topic.
Agradecimientos
Dr Carlos E. Armengol would like to gratefully acknowledge the late Professor J. Owen Hendley, a previous contributor to this topic.
Divulgaciones
JOH declared that he had no competing interests.
Revisores por pares
Ozgur Yigit, MD
Chief
ENT Department
Istanbul Training and Research Hospital
Istanbul
Turkey
Divulgaciones
OY declares that he has no competing interests.
Peter Bull, MB FRCS
Retired Consultant Paediatric Otolaryngologist
Formerly at Sheffield Children's Hospital
Sheffield
UK
Divulgaciones
PB declares that he has no competing interests.
Richard Schwartz, MD
Clinical Professor of Pediatrics
Georgetown University and George Washington University School of Medicine
Professor of Pediatrics
Medical College of Virginia
Clinical Professor
University of Virginia Medical College
Charlottesville
VA
Declarações
At the time of the peer review, RS declared no competing interests. We have been informed that Dr Schwartz is now deceased.
Créditos aos pareceristas
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Declarações
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Referências
Principais artigos
Lieberthal AS, Carroll AE, Chonmaitree T, et al. The diagnosis and management of acute otitis media. Pediatrics. 2013 Mar;131(3):e964-99. [Erratum in: Pediatrics. 2014 Feb;133(2):346.]Texto completo Resumo
Sjoukes A, Venekamp RP, van de Pol AC, et al. Paracetamol (acetaminophen) or non-steroidal anti-inflammatory drugs, alone or combined, for pain relief in acute otitis media in children. Cochrane Database Syst Rev. 2016 Dec 15;(12):CD011534.Texto completo Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Otitis media with effusion
- Myringitis
- Mastoiditis
Mais Diagnósticos diferenciaisDiretrizes
- Guide to utilization of the microbiology laboratory for diagnosis of infectious diseases: 2024 update by the Infectious Diseases Society of America (IDSA) and the American Society for Microbiology (ASM)
- Otitis media (acute): antimicrobial prescribing
Mais DiretrizesFolhetos informativos para os pacientes
Middle ear infection
How to help your child avoid ear infections
Mais Folhetos informativos para os pacientes
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