We’re back to an old question of should we give antibiotics for otitis media? The factors always being weighed up have been around the benefit which includes reduction in pain and resolution versus the side effects of the medication and the potential for infection to progress. (10 minutes read)
We review a recent systematic review(1) in the Annals of Emergency Medicine:
What They did
This was a systematic review which included studies of children between 1 month and 15 years of age, diagnosed with acute otitis media, which was defined as: “presence of a middle ear effusion along with ear pain, otorrhea, or fever“.
13 randomised control trials, comparing antibiotics to placebo were included and 6 randomised control trials were included, which compared antibiotics vs expectant management.
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