Clinical Practice Guidelines for the diagnosis and management of acute otitis media (AOM) in children in Japan – 2013 update. Issue 2 (April 2015)

• Record Type: Journal Article
• Authors: Kitamura, Ken; Iino, Yukiko; Kamide, Yosuke; Kudo, Fumiyo; Nakayama, Takeo; Suzuki, Kenji; Taiji, Hidenobu; Takahashi, Haruo; Yamanaka, Noboru; Uno, Yoshifumi
• Is Part Of: Auris nasus larynx. Volume 42:Issue 2(2015)
• Page Start: 99
• Page End: 106
• Publication Date: 2015-04
• Subjects: Otolaryngology -- Periodicals; Electronic journals; 616
• DOI: 10.1016/j.anl.2014.09.006
• Languages: English
• ISSNs: 0385-8146

Abstract

<abstract abstract-type="author" id="abs0005"> <title id="sect0005">Abstract</title> <sec> <title id="sect0010">Objective</title> <p id="spar0005">To (1) indicate methods of diagnosis and testing for childhood (<15 years) acute otitis media (AOM) and (2) recommend methods of treatment in accordance with the evidence-based consensus reached by the Subcommittee of Clinical Practice Guideline for Diagnosis and Management of AOM in Children (Subcommittee of Clinical Practice Guideline), in light of the causative bacteria and their drug sensitivity of AOM in Japan.</p> </sec> <sec> <title id="sect0015">Methods</title> <p id="spar0010">We investigated the most recently detected bacteria causing childhood AOM in Japan as well as antibacterial sensitivity and the worldwide distinct progress of vaccination, produced Clinical Questions concerning the diagnosis, testing methods, and treatment of AOM, searched literature published during 2000–2004, and issued the 2006 Guidelines <xref id="crfs0005" rid="bib0005 bib0010 bib0015 bib0020">[1–4]</xref>. In the 2009 and 2013 Guidelines, we performed the same investigation with the addition of literature, which were not included in the 2006 Guidelines and published during 2005–2008 and during 2009–2012, respectively.</p> </sec> <sec> <title id="sect0020">Results</title> <p id="spar0015">We categorized AOM as mild, moderate, or severe on the basis of tympanic membrane findings and clinical symptoms, and presented recommended treatment for each degree of severity.</p> </sec> <sec> <title id="sect0025">Conclusion</title> <p id="spar0020">Accurate assessment of tympanic membrane findings is important for judging the degree of severity and selecting a method of treatment. Some of new antimicrobial agents and pneumococcal vaccination are recommended as new treatment options.</p> </sec> </abstract>