지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.9
- 수록면
- 624 - 630 (7page)
- DOI
- https://doi.org/10.5124/jkma.2021.64.9.624
이용수
초록· 키워드
오류제보하기
Background: Acute otitis media (AOM) is diagnosed in patients with acute onset of signs and symptoms of inflammation in the middle ear, accompanied by middle ear effusion. AOM is a common infectious disease in children, and its diagnosis and treatment can have significant impacts on the health of children.
Current Concepts: The evidence-based clinical practice guidelines in Korea and other countries provide recommendations to primary care clinicians regarding the management of children with AOM. The treatment strategy for AOM depends on the patient’s age, severity of symptoms, the presence of otorrhea, and the laterality.
Discussion and Conclusion: For children aged from 6-months to 2-years with unilateral non-severe AOM and children aged 2 years or older with unilateral or bilateral non-severe AOM, the published guidelines provide the option of observation rather than immediate treatment with antibiotics. High-dose amoxicillin (80 to 90 mg a day) is the firstline antibiotic for treating AOM in patients without penicillin allergies. Children in whom symptoms persist after 48 to 72 hours of antibiotic treatment should be re-examined and amoxicillin/clavulanate should be used as second-line antibiotics. Careful follow-up is required to identify the complications and sequelae of AOM, and to determine the optimum treatment.
목차
등록된 정보가 없습니다.
참고문헌 (32)
참고문헌 신청
이효정 / 2012 / Korean Clinical Practice Guidelines: Otitis Media in Children / Journal of Korean Medical Science 27(8):835~848
Kim TH / 2020 / The change of prevalence and recurrence of acute otitis media in Korea / Int J Pediatr Otorhinolaryngol 134:110002
Damoiseaux RA / 2000 / Primary care based randomised, double blind trial of amoxicillin versus placebo for acute otitis media in children aged under 2 years / BMJ 320:350~354
Rosenfeld RM / 2004 / Clinical practice guideline : otitis media with effusion / Otolaryngol Head Neck Surg 130(5 Suppl):S95
Dagan R / 2000 / Treatment of acute otitis media : challenges in the era of antibiotic resistance / Vaccine 19(Suppl 1):S9~S16
Kim TH / 2020 / The change of prevalence and recurrence of acute otitis media in Korea / Int J Pediatr Otorhinolaryngol 134:110002
Damoiseaux RA / 2000 / Primary care based randomised, double blind trial of amoxicillin versus placebo for acute otitis media in children aged under 2 years / BMJ 320:350~354
Rosenfeld RM / 2004 / Clinical practice guideline : otitis media with effusion / Otolaryngol Head Neck Surg 130(5 Suppl):S95
Dagan R / 2000 / Treatment of acute otitis media : challenges in the era of antibiotic resistance / Vaccine 19(Suppl 1):S9~S16
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