Disappearance of middle ear effusion in acute otitis media monitored daily with tympanometry
| Autor: | Heikki Rantala, Katariina Jounio-Ervasti, Marjo Renko, Tero Kontiokari, Matti Uhari |
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| Rok vydání: | 2006 |
| Předmět: |
Male
Time Factors Acute otitis media Treatment failure otorhinolaryngologic diseases medicine Humans Child Cefuroxime medicine.diagnostic_test Otitis Media with Effusion business.industry Amoxicillin Infant General Medicine Odds ratio Tympanometry Anti-Bacterial Agents Middle ear effusion Treatment Outcome medicine.anatomical_structure Acoustic Impedance Tests Effusion Child Preschool Anesthesia Pediatrics Perinatology and Child Health Middle ear Female business Follow-Up Studies medicine.drug |
| Zdroj: | Acta Paediatrica. 95:359-363 |
| ISSN: | 0803-5253 |
| DOI: | 10.1080/08035250500437531 |
| Popis: | Background: Disappearance of middle ear effusion is one of the most important outcomes in the treatment of acute otitis media (AOM). Aim: To evaluate the duration of effusion in AOM treated by antimicrobials and to find factors influencing it. Methods: Parents of 90 children with AOM monitored daily the disappearance of effusion with tympanometry. The children were randomly allocated to be treated with either oral amoxicillin or cefuroxime-axetil for 10 d. Daily monitoring lasted for 14 d or until the tympanogram was normal (curve A or C) in both ears. Pneumatic otoscopy was carried out every 2 wk. Results: Normal tympanograms were obtained after a median time of 7.5 d (range 1–58 d) among 75 successfully monitored patients. In two-thirds (69%) of them, effusion resolved in 14 d. The median duration of effusion did not differ significantly between the two treatment groups (8 vs 7 days, p=0.7). The children who had unilateral AOM cured more rapidly than those with bilateral AOM (5 vs 19 d, p |
| Databáze: | OpenAIRE |
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