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Acute Otitis Media Update

Acute Otitis Media Update

Acute Otitis Media Update

Sarah Scarpace Lucas, PharmD, BCPS, FCSHP
Sarah Scarpace Lucas, PharmD, BCPS, FCSHP
on behalf of University of Texas at Austin College of Pharmacy

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Review:

Launch date: 09 Mar 2017
Expiry Date:

Last updated: 13 Mar 2017

Reference: 170985

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This course is only available to trainees days after purchase. It would need to be repurchased by the trainee if not completed in the allotted time period. This course is no longer available. You will need to repurchase if you wish to take the course again.

Description

Acute otitis media (AOM), characterized by the rapid onset of symptoms such as ear pain and fever, is one of the most common childhood infections. It is the leading reason for both doctor office visits (aside from well child visits) and antibiotic prescriptions for children. An estimated 60% to 80% of infants have at least 1 episode of AOM by 12 months of age, and up to 90% have had an episode by 2 to 3 years of age. Most cases occur between the ages of 6 months and 24 months. Infants with AOM during the first 6 months of life are more likely to have frequent episodes during the next few years. In recent decades, there has been a decrease in doctor office visits for AOM. The reasons for this decline are not clear, but may include the introduction of new PCV pneumococcal vaccines, more widespread influenza vaccination (see Prevention Through Immunization, below) and public education about unnecessary antibiotic use, resulting in fewer visits for mild ear infections. More healthcare providers may also be following the “watchful waiting” recommendations that were advocated in the 2004 American Academy of Pediatrics and American Academy of Family Physicians (AAP/AAFP) otitis media guideline. In 2013, the American Academy of Pediatrics (AAP) released a new guideline for the diagnosis and management of AOM in children 6 months through 12 years of age. The new guideline focuses on more stringent, objective criteria for AOM diagnosis. Observation rather than antibiotic initiation in selected cases continues to be emphasized in the 2013 guideline, including in selected children younger than 2 years old. The appropriate choice of antibiotic, based on the changing microbiology of AOM, is also emphasized. This issue reviews key points in the new guideline, along with the basic pathophysiology, risk factors, and prevention of AOM. Community providers have an important role in educating parents and caregivers about the best management strategies for AOM, including the avoidance of unnecessary antibiotic use. Format This CE activity is a monograph (PDF file).

Objectives

Objectives
Describe the signs and symptoms of acute otitis media (AOM), and state the current criteria for diagnosing AOM. Identify at least 5 modifiable risk factors for AOM. Counsel parents about vaccinations that may help prevent AOM. List the 3 major bacterial species that cause AOM and describe their patterns of antibiotic susceptibility. Counsel parents about pain medication for AOM. Review current recommendations for antibiotic use versus observation, and for 1st- and 2nd-line antibiotic choices. Discuss common adverse effects of amoxicillin.
Sarah Scarpace Lucas, PharmD, BCPS, FCSHP

Author Information Play Video Bio

Sarah Scarpace Lucas, PharmD, BCPS, FCSHP
on behalf of University of Texas at Austin College of Pharmacy

Dr. Sarah Scarpace Lucas is a Health Sciences Associate Clinical Professor of Pharmacy and Clinical Pharmacist with the Department of Clinical Pharmacy, School of Pharmacy, at the University of California in San Francisco. She practices at the UCSF Benioff Children's Hospital where she precepts students and residents and specializes in the care of pediatric patients.

Current Accreditations

This course has been certified by or provided by the following Certified Organization/s:

  • Accreditation Council for Pharmacy Education (ACPE)
  • 1.50 Hours -
    Reference: 0428-0000-14-005-H01-P

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