This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Topic Collections  • Otolaryngology/ Head & Neck Surgery  • Middle/ External Ear Disorders  • Pediatric Otolaryngology  • Alert me on articles by topic  Social Bookmarking   What's this?

Eileen E. Reynolds, MD

JAMA. 2004;292:2515.

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

In a Clinical Crossroads article published in the November 27, 2002 issue, Jack L. Paradise, MD, discussed a 15-month-old child who experienced frequent middle ear infections.¹ The patient, "Sam," had his first infection at 5 months of age and went on to have at least 6 more documented episodes of otitis media in the ensuing 6 months. His pediatrician and his parents had elected treatment with prophylactic amoxicillin.

Paradise discussed the definition of acute otitis media (AOM), its diagnosis by physical examination of the ear and tympanic membrane, and the epidemiology and risk factors for recurrent AOM. He reviewed the bacteriology, antibiotic choice, and duration of treatment for AOM. He discussed evidence-based treatments, such as prophylactic antibiotics and tympanostomy tubes, and the management of individual episodes of AOM in children with recurrent infections.

We recently contacted Sam’s pediatrician and mother to ask about his course.

DR T, SAM’S PRIMARY CARE PHYSICIAN

Sam . . . [Full Text of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?