Acute otitis media in children: treatment, follow-up and prevention – Related resources
- Once or twice daily doses of amoxicillin, with or without clavulanate, compared to three daily doses may not differ in clinical cure rates for the treatment of acute otitis media [Evidence Level: C].
- Children with acute otitis media (AOM) benefit from treatment with amoxicillin-clavulanate as compared with placebo when strict criteria of AOM are used. However, adverse effects like diarrhea and skin rash are more common in antibiotic-treated groups and antibiotic treatment carries the risk of the development of bacterial resistance [Evidence Level: A].
- Zinc supplementation may not reduce the incidence of otitis media in healthy children under the age of five years living in low- and middle-income countries [Evidence Level: C].
- Antibiotic treatment slightly promotes the resolution of otitis media with effusion (OME) in children compared with placebo, no treatment, or therapy of unproven effectiveness for OME [Evidence Level: A].
- Three to five days of antibiotics appear to be nearly as effective as 8 to 10 day courses for acute otitis media in children [Evidence Level: B].
- Steroids (oral or topical intranasal) may not have beneficial effect on hearing loss associated with otitis media with effusion (OME) in children. [Evidence Level: C]
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