Cited by 1,442Ear Surgery and Otitis MediaOtolaryngology and Infectious DiseasesPneumonia and Respiratory Infections

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The Diagnosis and Management of Acute Otitis Media

Lieberthal, Allan S., Carroll, Aaron E., Chonmaitree, Tasnee, Ganiats, Theodore G., Hoberman, Alejandro, Jackson, Mary Anne, Joffe, Mark D., Miller, Donald T., Rosenfeld, Richard M., Sevilla, Xavier D., Schwartz, Richard H., Thomas, Pauline A., Tunkel, David E.·2013·Pediatrics

DOI 10.1542/peds.2012-3488

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Abstract

This evidence-based clinical practice guideline is a revision of the 2004 acute otitis media (AOM) guideline from the American Academy of Pediatrics (AAP) and American Academy of Family Physicians. It provides recommendations to primary care clinicians for the management of children from 6 months through 12 years of age with uncomplicated AOM. In 2009, the AAP convened a committee composed of primary care physicians and experts in the fields of pediatrics, family practice, otolaryngology, epidemiology, infectious disease, emergency medicine, and guideline methodology. The subcommittee partnered with the Agency for Healthcare Research and Quality and the Southern California Evidence-Based Practice Center to develop a comprehensive review of the new literature related to AOM since the initial evidence report of 2000. The resulting evidence report and other sources of data were used to formulate the practice guideline recommendations. The focus of this practice guideline is the appropriate diagnosis and initial treatment of a child presenting with AOM. The guideline provides a specific, stringent definition of AOM. It addresses pain management, initial observation versus antibiotic treatment, appropriate choices of antibiotic agents, and preventive measures. It also addresses recurrent AOM, which was not included in the 2004 guideline. Decisions were made on the basis of a systematic grading of the quality of evidence and benefit-harm relationships. The practice guideline underwent comprehensive peer review before formal approval by the AAP. This clinical practice guideline is not intended as a sole source of guidance in the management of children with AOM. Rather, it is intended to assist primary care clinicians by providing a framework for clinical decision-making. It is not intended to replace clinical judgment or establish a protocol for all children with this condition. These recommendations may not provide the only appropriate approach to the management of this problem.

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Cites a retracted work: 10.1002/14651858.cd004741.pub2
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The cited work was retracted on 2018-04-06 (notice 10.1002/14651858.cd004741.pub3), not before this paper was published (2013-03-01).
Cited work 10.1002/14651858.cd004741.pub2 · retracted 2018-04-06 · notice 10.1002/14651858.cd004741.pub3 · this paper published 2013-03-01

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Background
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Imaging of Pediatric Hearing Loss
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A Machine Learning Approach to Screen for Otitis Media Using Digital Otoscope Images Labelled by an Expert Panel
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“…(Figure 1) was performed in identical Google forms as for the calibration. diagnoses (Supplementary File), based on established diagnostic criteria [23,24] together with information about how to conduct Independently of each other, the panel members made their assessment of each GIF-file.…”
Method

Authors: Lieberthal, A. S., Carroll, A. E., Chonmaitree, T., Ganiats, T. G., Hoberman, A., Jackson, M. A., Joffe, M. D., Miller, D. T., Rosenfeld, R. M., Sevilla, X. D., Schwartz, R. H., Thomas, P. A., & Tunkel, D. E.
Affiliations: American Academy of Family Physicians (US)
ORCID: Carroll, Aaron E.
Chonmaitree, Tasnee
Hoberman, Alejandro
Jackson, Mary Anne
Rosenfeld, Richard M.
Thomas, Pauline A.
Tunkel, David E.
Venue: Pediatrics
Publisher: American Academy of Pediatrics (AAP)
Published: 2013-03-01
Volume: 131
Issue: 3
Pages: e964-e999
ISSN: 0031-4005 (ISSN-L)
1098-4275
DOI: 10.1542/peds.2012-3488
OpenAlex: W2150500774
Semantic Scholar: 4a6a7f55f9b78a07b0790479d70008831177f3f6
Cited by: 1,442
References: 273
Citations by year: 2026: 74 · 2025: 86 · 2024: 125 · 2023: 97 · 2022: 140 · 2021: 114 · 2020: 139 · 2019: 104 · 2018: 109 · 2017: 109 · 2016: 98 · 2015: 96 · 2014: 79 · 2013: 42
FWCI: 87.27
Type: journal article
Language: en
Open access: closed
Locations: PEDIATRICS (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Otorhinolaryngology › Ear Surgery and Otitis Media
Health Sciences › Medicine › Infectious Diseases › Otolaryngology and Infectious Diseases
Health Sciences › Medicine › Epidemiology › Pneumonia and Respiratory Infections
Keywords: acute otitis media, pediatric otitis media, diagnosis, initial treatment, antibiotic therapy, pain management, recurrent otitis media, prevention, children, primary care management
MeSH terms: Acute Disease, Amoxicillin, Humans, Otitis Media, Tympanic Membrane, Disease Management

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The Diagnosis and Management of Acute Otitis Media

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