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Otitis Media

Published on Nov 22, 2015

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PRESENTATION OUTLINE

OTITIS MEDIA

PEDIATRICS IN REVIEW MARCH 2010 + AAP 2013 UPDATED GUIDELINES
Photo by Jose Chavarry

WHY IS aom A HOT TOPIC?

COMPLICATIONS:

FIRST, SOME DEFINITIONS

DEFINITIONS

AOM VS. OME

DIAGNOSIS OF AOM

risk factors

MICROBIOLOGY OF AOM

PCV

GIVEN AT 2, 4, 6, AND 12-15 MONTHS

treatment

APPLYING THE GUIDELINES TO THE REAL WORLD
Photo by Jose Chavarry

TO TREAT OR NOT TO TREAT

THAT IS THE QUESTION

sO, YOU CALL YOURSELF A CONSERVATIVE

What are the risks of observing?

DON'T YOU RUN THE RISK OF THE DEVELOPMENT OF MASTOIDITIS?

NO.You simply run the risk of a protracted course

STUDIES SHOW THAT WATCHFUL WAITING DID NOT LEAD TO HIGHER RATES OF MASTOIDITIS

amoxaholics

FOR SEVERE AOM, HERE IS HOW YOU TREAT

AMOXYCILLIN

TRIVIA QUESTION:

WHAT IS THE S. PNUEMO'S METHOD OF RESISTANCE TO PENICILLIN?

Penicillin Binding Proteins

HENCE THE HIGH DOSE AMOX. (SATURATED BINDING SITES)

AUGMENTIN (aMOX-cLAV)

QUESTION

WHAT IS H.INFLUENZA'S METHOD OF RESISTANCE TO PENICILLIN?

beta-lactamase

HENCE THE BREAKING OUT AUGMENTIN IN SEVERE AND TREATMENT FAILURE

MUST ALL KIDS BE TREATED FOR A FULL 10 DAYS?

What if my kid has a penicillin allergy?

TREATMENT FAILURE

TYMPANOCENTESIS indications

Recurrent OM

Follow up