PMID: 2108756Mar 3, 1990Paper

Diagnosis and antibiotic treatment of acute otitis media: report from International Primary Care Network

BMJ : British Medical Journal
J FroomB Somaini

Abstract

The relation between a history of disorders suggestive of acute otitis media, symptoms, and findings of an examination of the tympanic membrane and doctors' certainty of diagnosis. Also, to examine differences in prescribing habits for acute otitis media among doctors from different countries. Questionnaires were completed by participating doctors for a maximum of 15 consecutive patients presenting with presumed acute otitis media. General practices in Australia, Belgium, Great Britain, Israel, The Netherlands, New Zealand, Canada, Switzerland, and the United States. 3660 Children divided into the three age groups 0-12 months, 13-30 months, and greater than or equal to 31 months. General practitioners' responses to questions on their diagnostic certainty and resolution of patients' symptoms after two months. The diagnostic certainty in patients aged 0-12 months was 58.0%. This increased to 66.0% in those aged 13-30 months and 73.3% in those aged greater than or equal to 31 months. In all age groups diagnostic certainty was positively associated with the finding of a tympanic membrane that was discharging pus or bulging. Redness of the membrane and pain were also associated with certainty in patients aged 13-30 months, and a his...Continue Reading

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