Evidence-Based Otitis Media offers one-stop shopping for the best current evidence to guide management decisions at the individual, organizational, and societal levels. This text details the importance of evidence-based data in interpreting the ever-enlarging body of literature on otitis media. The editors have assembled an impressive group of experts on all aspects of otitis media and addressed comprehensively many issues related to methodology, clinical management, and consequences of this disease. The eight chapters comprising the methodology section provide the necessary background and detail to allow physicians and other health professionals to understand and appreciate the value of evidence-based medicine. Updates include: the incorporation of new original research, systemic reviews, and evidence reports to existing chapters. New chapter topics include: evidence-based medicine, professional evidence reports, molecular and translational research, complementary and alternative medicine, bacteriologic efficacy of antimicrobials, vaccine prevention, international management perspectives, meta-analysis of speech and language sequelae, suppurative complications, host susceptibility to sequelae, and judicious use of systemic and topical antimicrobials. FEATURES: *Maturation of evidence-based medicine as a foundation for clinical care is reflected throughout the text. *Extensive evidence tables summarize study characteristics and quantitative outcomes for clinically relevant endpoints *Internationally distinguished contributors selected based on both their clinical expertise and their ability to write for an evidence-based text
This new work takes a solid, evidence and research-based approach to otitis media management. First, it offers a comprehensive education on the critical evaluation of otitis media research, literature, and clinical trials. Then it gives well-founded advice on prevention, diagnosis, and surgical and medical management. A section devoted to the consequences and sequelae follows.
The ultimate guide to the evidence-based clinical encounter "This book is an excellent source of supported evidence that provides useful and clinically relevant information for the busy practitioner, student, resident, or educator who wants to hone skills of physical diagnosis. It provides a tool to improve patient care by using the history and physical examination items that have the most reliability and efficiency."--Annals of Internal Medicine "The evidence-based examination techniques put forth by Rational Clinical Examination is the sort that can be brought to bear on a daily basis – to save time, increase confidence in medical decisions, and help decrease unnecessary testing for conditions that do not require absolute diagnostic certainty. In the end, the whole of this book is greater than its parts and can serve as a worthy companion to a traditional manual of physical examination."--Baylor University Medical Center (BUMC)Proceedings 5 STAR DOODY'S REVIEW! "Physical diagnosis has been taught to every medical student but this evidence-based approach now shows us why, presenting one of medicine's most basic tenets in a new and challenging light. The format is extraordinary, taking previously published material and updating the pertinent evidence since the initial publication, affirming or questioning or refining the conclusions drawn from the data. "This is a book for everyone who has studied medicine and found themselves doubting what they have been taught over the years, not that they have been deluded, but that medical traditions have been unquestionably believed because there was no evidence to believe otherwise. The authors have uncovered the truth. "This extraordinary, one-of-a-kind book is a valuable addition to every medical library."--Doody's Review Service Completely updated with new literature analyses, here is a uniquely practical, clinically relevant approach to the use of evidence in the content of physical examination. Going far beyond the scope of traditional physical examination texts, this invaluable resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies. Page after page, you'll find a focus on actual clinical questions and presentations, making it an incomparably practical resource that you'll turn to again and again. Importantly, the high-yield content of The Rational Clinical Examination is significantly expanded and updated from the original JAMA articles, much of it published here for the first time. It all adds up to a definitive, ready-to-use clinical exam sourcebook that no student or clinician should be without. FEATURES Packed with updated, new, and previously unpublished information from the original JAMA articles Standardized template for every issue covered, including: Case Presentation; Why the Issue Is Clinically Important; Research and Statistical Methods Used to Find the Evidence Presented; The Sensitivity and Specificity of Each Key Result; Resolution of the Case Presentation; and the Clinical Bottom Line Completely updated with all-new literature searches and appraisals supplementing each chapter Full-color format with dynamic clinical illustrations and images Real-world focus on a specific clinical question in each chapter, reflecting the way clinicians approach the practice of evidence-based medicine More than 50 complete chapters on common and challenging clinical questions and patient presentations Also available: JAMAevidence.com, a new interactive database for the best practice of evidence based medicine
Lalwani (physiology and neuroscience, New York University School of Medicine) presents essential information on medical and surgical management of disorders and diseases of the ear, nose, throat, and neck, for specialists, non-specialists, ancillary health care personnel, and students. The book emphasizes practical features of diagnosis and patient management while providing a discussion of pathophysiology and relevant basic and clinical science. Overview chapters review principles of antimicrobial therapy, anesthesia, radiology, and lasers, followed by chapters arranged by anatomical region. B&w medical images and photos are included. Annotation : 2004 Book News, Inc., Portland, OR (booknews.com).
The 3rd Edition of this authoritative reference brings together all of today's best knowledge about middle ear infections. Clear and concise discussions of etiology and pathogenesis are paired with cutting-edge techiques for diagnosis and both medical and surgical management. Updates include new approaches for medical treatment and prevention in the face of today's antibiotic-resistant bacterial pathogens ... discussions of new vaccines ... evaluations of alternative medical treatments ... and much more.
"Acute otitis media (AOM) is the most common reason children are prescribed antibiotics in the US. While the evidence-based practice (EBP) guidelines from the American Academy of Pediatrics and American Academy of Family Physicians provide guidance on the diagnosis and management of AOM, adherence to the guidelines remains low and the overall use of antibiotics remains high. The overprescribing of antibiotics and the use of broad-spectrum antibiotics for AOM treatment contributes to the growing problem of antimicrobial resistance. A comprehensive literature review showed that educational interventions increased provider knowledge and adherence to guidelines and reduced antibiotic use for the management of AOM. This EBP project aimed to increase the knowledge levels of providers and improve provider intent to utilize the EBP guidelines for the diagnosis and management of AOM. The target population was nurse practitioners and physician assistants working in retail clinics of a large organization in South Texas. A total of eighteen providers participated in the project. A self-developed tool was used to measure the success of the educational intervention. Participants completed a pretest, education session, and a posttest. Additional education sessions were offered to the participants and a second posttest for retention of information was done after eight weeks. The results showed that the knowledge levels of the providers increased by 43% in the first posttest and 56% in the second posttest, while the benchmark was a 15% increase. Similarly, provider intent to utilize EBP guidelines increased by 33%, more than the benchmark of 15%. The success of this EBP change project makes it appropriate for practical use in nursing practice. Key words: acute otitis media, antibiotics, antimicrobial resistance, educational intervention, evidence-based practice " -- Abstract
Treatment is based on careful diagnosis . If acute otitis media (AOM) is only suspected antimicrobial drugs are not indicated.Treatment is always individual: antimicrobials will hasten recovery and relieve ear-related symptoms, but AOM can also resolve without antimicrobials .
About 40% of children experience one or more episodes of acute otitis media (AOM) by the age of one year and about 70% by the age of two years. It is normal that some middle ear effusion persists after AOM, even for several weeks. This must not be interpreted as a new episode of AOM.
