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Jack L. Paradise, MD, Discussant

JAMA. 2002;288:2589-2598.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

DR REYNOLDS: Sam is a 15-month-old child who has recurrent otitis media. He lives near Boston with his mother, father, and a healthy older brother, aged 2 years 9 months. Sam is cared for at home while his parents are at work.

Born at term in October 2000 by elective repeat cesarean delivery to a healthy 37-year-old gravida 2, para 2 mother after an uncomplicated pregnancy, Sam had a normal hearing screen at birth. At the age of 5 months he had his first episode of acute otitis media, manifested by spontaneous perforation and draining of pus from the left ear. He was treated with amoxicillin, 80 mg/kg per day, and his eardrum was found intact at a subsequent visit.

In May, June (twice), August, September, and November of 2001, Sam had 6 more episodes of acute otitis without perforation. His pediatrician, Dr . . . [Full Text of this Article]

MRS G, SAM'S MOTHER: HER VIEW

DR T, SAM'S PEDIATRICIAN: HIS VIEW

AT THE CROSSROADS: QUESTIONS FOR DR PARADISE

Epidemiology and Risk Factors

Bacteriology

Antibiotic Treatment of AOM

Evaluation of Children With Recurrent OM

Antimicrobial Prophylaxis vs Tympanostomy Tubes for AOM

Management of OME

Pneumococcal Conjugate Vaccine

Recommendations for Sam

QUESTIONS AND DISCUSSION

Author Affiliation: Dr Paradise is Professor of Pediatrics, Family Medicine and Clinical Epidemiology, and Otolaryngology, University of Pittsburgh School of Medicine and attending physician, Children's Hospital of Pittsburgh, Pittsburgh, Pa.

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