Can trained nurses exclude acute otitis media with tympanometry or acoustic reflectometry in symptomatic children?

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Can trained nurses exclude acute otitis media with tympanometry or acoustic reflectometry in symptomatic children?

OBJECTIVE Since acute otitis media (AOM) is the most prevalent bacterial infection in young children, the reliable exclusion of AOM by nurses might save physicians' time for other duties. The study aim was to determine whether nurses without otoscopic experience can reliably use tympanometry or spectral gradient acoustic reflectometry (SG-AR) to exclude AOM. DESIGN Three nurses were trained, ...

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Modern acoustic reflectometry: accuracy in diagnosing otitis media with effusion.

We conducted a study of 80 patients to evaluate the accuracy of a commercially available acoustic reflectometer in identifying the presence or absence of otitis media with effusion (OME). This device assesses bilateral tympanic membrane mobility and, by inference, middle ear status. We found that it was most accurate in patients with normal and grossly fluid-filled ears. We recommend screening ...

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Acute otitis media in children.

INTRODUCTION Acute otitis media (AOM) is a common reason for primary care visits in children. Yet, there is considerable debate on the most effective treatment. METHODS AND OUTCOMES We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of treatments (analgesics, antibiotics, and myringotomy) in children with AOM? We searched: Medline, Emba...

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Acute otitis media in children

CLINICAL QUESTION What is the best treatment for acute otitis media in children? RESULTS Watchful waiting, followed by amoxicillin treatment, if necessary, is the best first-line treatment for acute otitis media in children aged six months or older.

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Acute Otitis Media in Children

the middle ear is the most prevalent disease of childhood. The other areas of the temporal bone which can be contiguous with the middle ear, including the mastoid, petrousus apex and perilabyrinthine air cells, may also be involved. Otitis media can be further divided into acute otitis media (AOM) without effusion, otitis media with effusion (OME), chronic suppurative otitis media (COM) with or...

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ژورنال

عنوان ژورنال: Scandinavian Journal of Primary Health Care

سال: 2015

ISSN: 0281-3432,1502-7724

DOI: 10.3109/02813432.2015.1118835