B3-054 - AOM and OME Flashcards
______ is the most common reason for Antibiotic prescriptions in children
Otitis Media
Rates of otitis media are _____
Declining
Why are fewer people visiting the doctors office for OM?
- increased cost of copayments
- increased public education
- use of conjugated pneumococcal vaccine
- increased flu vaccine
- better differentiation between AOM and OME
AOM
Acute Otitis Media
OME
Otitis Media with Effusion
Path of AOM
usually occurs with or following viral upper respirator tract infection (URI)
75% of URI have______
Eustachian tube dysfunction
Breakdown of bacteria/viral distribution of AOM cases
66% - bacterial and viral
27% - bacterial only
4% - viral only
Bacterial culprits of AOM
- Strep. pneumonia
- nontypal Haemaphilus influenza (nTHi)
- Moraxella catarrhalis
- Strep. pyogenes (school age children)
Age distribution of 1st episode of AOM
- 16% 0-6m
- 44% 7-18m
- 40% 19m-2yr
___% of children with OM had more than 4 episodes of AOM
40%
Risk factors for AOM
- day care
- non-hispanic white
- atopy
- siblings
- family history
Symptoms of AOM
- rapid onset ear pain (50-60% of cases)
- young children: tugging at ears, fever, excessive crying, changes in sleep
Best: “cloudy”, bulging TM with impaired mobility
Bulging TM is highly _____, whereas impaired TM mobility is highly _____.
specific; sensitive.
OME path
Often aftermath of AOM or consequence of Eustachian tube dysfunction from URI
Can precede AOM