Otitis Media 3 months–12 years: Difference between revisions

From Guide to YKHC Medical Practices

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===Resources/References===
===Resources/References===
* Lieberthal, A. et al.  [https://pediatrics.aappublications.org/content/pediatrics/131/3/e964.full.pdf The Diagnosis and Management of Acute Otitis Media]. Pediatrics. March 2013, 131(3)e964-e999; doi.org/10.1542/peds.2012-3488
* Lieberthal, A. et al.  [https://pediatrics.aappublications.org/content/pediatrics/131/3/e964.full.pdf The Diagnosis and Management of Acute Otitis Media]. Pediatrics. March 2013, 131(3)e964-e999; doi.org/10.1542/peds.2012-3488
* Singleton, R. et al.  [https://pubmed.ncbi.nlm.nih.gov/19131901/ Trends in otitis media and myringtomy with tube placement among American Indian/Alaska native children and the US general population of children]. Pediatr Infect Dis J. 2009 Feb;28(2):102-7.  doi: 10.1097/INF.0b013e318188d079 
* [[media:ENT Guidelines.pdf|ENT Guidelines 2015]] (Powerpoint Presentation)
* [[media:ENT Guidelines.pdf|ENT Guidelines 2015]] (Powerpoint Presentation)
* [[media:OM update.pdf|Otitis Media]] (Powerpoint presentation by Dr. Leslie Herrmann)
* [[media:OM update.pdf|Otitis Media]] (Powerpoint presentation by Dr. Leslie Herrmann)

Revision as of 09:33, 25 September 2020

Lots and lots on the Delta. Please refer to our Otitis Media Guideline. If the TMs are red and have no mobility – then recommendation is to treat them. Our antibiotic recommendation include—first line high dose Amoxicillin, second line Augmentin, third line Omnicef, and lastly Rocephin x 3 days. If the child has a long history of ear infections – referral for audiology for hearing eval . Tube placement referral is very common – it is done in Anchorage.

Many people over the last few decades had mastoiditis and had mastoidectomies to treat it in our population. They should be seen by ENT every 1-–2 years to have their mastoid bowls cleaned out and examined.

In general, children should be direct referred to ENT for PE tube placement if they have recurrent (>3 in 6 months or 4 in a year) infections or persistent effusion >3 months (especially with hearing loss). You may also refer these patients to audiology if there is a question of hearing loss/speech delay secondary to recurring infections; this is another route to ENT care as the audiologists routinely do telemedicine consults with the ANMC ENT’s using TM photos. We no longer do antibiotic prophylaxis for recurrent OM’s, as this has not been shown to be effective. All infants fewer than 3 months of age that are diagnosed by a CHA to have otitis media should be seen and evaluated in Bethel before being started on any antibiotic.

Resources/References

category:YKHC Guidelines
Common/Unique Medical Diagnoses