The DOI matches its Crossref record; 268 of the 273 references it cites were found in a registry or an index.
The Diagnosis and Management of Acute Otitis Media
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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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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MethodProposed Quality Indicators for Aspects of Pediatric Acute Otitis Media Management
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“8,21,22 The modified RAND Corporation/University of California, Los Angeles (RAND/UCLA) appropriateness methodology was used to select the final QIs.”
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“Antibiotics are recommended for OM treatment in children under 2 and for complicated OM in older individuals (5).”
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Metadata
- 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
- 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
- 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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