PMID: 3757396Oct 1, 1986Paper

Erythromycin prophylaxis for recurrent otitis media

Clinical Pediatrics
R M Lampe, M R Weir

Abstract

Patients with recurrent otitis media without persistent middle ear effusion were studied for antibiotic prophylaxis efficacy. In the first phase, erythromycin ethylsuccinate was used as prophylaxis for otitis media in 45 patients in a dose of 10 mg/kg twice daily. Acute otitis media occurred in eight of 45 (18%) while receiving erythromycin, and in 22 of 41 (54%) following prophylaxis termination. The attack rate (episodes of otitis media per 2-month period) was 0.86 before prophylaxis, 0.20 during prophylaxis, and 0.79 following prophylaxis. In a second phase of the study, erythromycin was compared with sulfisoxazole for otitis media prophylaxis in a group of 42 children. Sulfisoxazole (500 mg per dose) was administered twice daily. Acute otitis media occurred in five of 28 (18%) children while receiving erythromycin and in nine of 21 (43%) children while receiving no prophylaxis. The attack rate (episodes of otitis media per 2-month period) was 0.81 before erythromycin prophylaxis, 0.18 while receiving erythromycin, and 0.50 after erythromycin prophylaxis. Acute otitis media occurred in eight of 14 (51%) children while receiving sulfisoxazole, and in two of five (40%) children while receiving no prophylaxis. The attack rate (...Continue Reading

References

Dec 29, 1977·The New England Journal of Medicine·W T HughesS L George
Dec 1, 1976·The Journal of Pediatrics·C M Ginsburg, H F Eichenwald
Feb 1, 1960·American Journal of Public Health and the Nation's Health·P R ENSIGNM MORAN

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Citations

Feb 13, 2001·Vaccine·D W TeeleUNKNOWN Greater Boston Otitis Media Study Group
Apr 1, 1991·Acta paediatrica Scandinavica·G Fauskin
Jan 1, 1994·International Journal of Pediatric Otorhinolaryngology·N A Goldstein, N Sculerati
Jan 1, 1993·International Journal of Pediatric Otorhinolaryngology·T SihB Schwartz
Jan 1, 1992·The Annals of Otology, Rhinology & Laryngology. Supplement·J L Paradise

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