Inflammation of the middle ear
Most commonly occurs in children 6–36 mo
Rapid onset of local and/or systemic symptoms
More than 1/3 of children experience >5 episodes by the age of 7...
Diagnose otitis media (OM) when:
Moderate to severe bulging of tympanic membrane (TM)
Mild bulging of TM and recent onset of ear pain (...
Most mild cases could resolve without antibiotics
Antibiotics are indicated for:
All infants <6 mo
Children <2 yr with bilateral OM
Bilateral OM in kids <2 yr
<1 yr, immunocompromised
Moderately or severely dehydrated
Unable to tolerate oral fluids or medications
Suspected or proven asso...
American Academy of Pediatrics Subcommittee on Management of Acute Otitis Media. Diagnosis and management of acute otitis media. Pediatrics. 2004;113:1451–1465.
Coker TR, Chan...
381.4 Nonsuppurative otitis media, not specified as acute or chronic
381.60 Obstruction of Eustachian tube, unspecified
382.9 Unspecified otitis media
H65.90 Unspecified nonsuppurative oti...
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