Este es un tema que es controversial en los servicios de atención primaria , aqui les dejo algunos artículos y sus links sobre el manejo de la Otitis Media en niños.
Dr. Carlos Erazo
"In children with acute otitis media, two placebo-controlled trials establish that antibiotic treatment with amoxicillin-clavulanate is superior to watchful waiting. The trials appear in the New England Journal of Medicine.
Researchers in Finland and the U.S. separately randomized a total of some 600 children under age 3 years to roughly 10 days of double-blind treatment with either amoxicillin-clavulanate or placebo. All children had been diagnosed with acute otitis media according to strict standards.
In both trials, treatment failure was at least twice as frequent among placebo recipients. Rash and diarrhea were more common among those receiving antibiotics.
An editorialist writes that the trials provide "the best data yet" to answer the question: Is acute otitis media treatable? "The answer is yes," he writes."
Podemos revisar los siguientes artículos del NEJM gratuitos en pdf estos son los links :
Treatment of Acute Otitis Media in Children under 2 Years of Age : http://www.nejm.org/doi/pdf/10.1056/NEJMoa0912254
A Placebo-Controlled Trial of Antimicrobial Treatment for Acute Otitis Media :http://www.nejm.org/doi/pdf/10.1056/NEJMoa1007174
Researchers in Finland and the U.S. separately randomized a total of some 600 children under age 3 years to roughly 10 days of double-blind treatment with either amoxicillin-clavulanate or placebo. All children had been diagnosed with acute otitis media according to strict standards.
In both trials, treatment failure was at least twice as frequent among placebo recipients. Rash and diarrhea were more common among those receiving antibiotics.
An editorialist writes that the trials provide "the best data yet" to answer the question: Is acute otitis media treatable? "The answer is yes," he writes."
Podemos revisar los siguientes artículos del NEJM gratuitos en pdf estos son los links :
Treatment of Acute Otitis Media in Children under 2 Years of Age : http://www.nejm.org/doi/pdf/10.1056/NEJMoa0912254
A Placebo-Controlled Trial of Antimicrobial Treatment for Acute Otitis Media :http://www.nejm.org/doi/pdf/10.1056/NEJMoa1007174
