Drugs For The Ear-otitis Media

Question 1

defined as inflammation of the middle ear, is among the most prevalent disorders of childhood.

Answer 1

OM …….OTITIS MEDIA

Question 2

characterized by rapid onset, middle-ear effusion, and middle-ear inflammation.

Answer 2

AOM acute otitis media

Question 3

AOM may be _____, _____, or both.

Answer 3

bacterial, viral

Question 4

More than_____ of AOM cases resolve spontaneously within a _____.

Answer 4

80%

week

Question 5

All children with AOM should receive____ _____.

Answer 5

pain medication

(eg, acetaminophen, ibuprofen, codeine) as needed.

Question 6

Recent clinical guidelines recommend antibacterial therapy for some children, and observation for others.
Observation: for
Antibacterial: .

Answer 6

Observation: for 48 to 72 hours—allows time for AOM to resolve on its own.
Antibacterial: If it doesn’t resolve, then antibacterial therapy is implemented.

Question 7

The decision to treat immediately or to wait is based on three factors:

1. ________
2. _____________
3. ______________

Answer 7

patient age,
illness severity,
and the degree of diagnostic certainty
(see Table 105-2).

Question 8

When antibiotics are used for AOM (either immediately or after a period of observation), what is the treatment of choice?

Answer 8

high-dose amoxicillin is the treatment of choice.

Question 9

For children with antibiotic-resistant AOM, what is the treatment of choice?

Answer 9

high-dose amoxicillin/clavulanate
(available as Augmentin ES-600)
is the treatment of choice.

Question 10

The risk of acquiring AOM can be reduced by vaccination against the1. _______
2. ______, and to a lesser degree 3. _____.

Answer 10

influenza virus,
treatment of active influenza infection,
and, to a lesser degree, vaccination against Streptococcus pneumoniae
(using the pneumococcal conjugate vaccine [Prevnar]).

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Question 11

OME is characterized by _____________ but without evidence of _______________ illness.

Answer 11

fluid in the middle ear

local or systemic illness

Question 12

OME may cause mild _____ _____, but not _____.

Answer 12

hearing loss

not pain

Question 13

OME is seen in many children following an episode _____, and may persist for _____ to _____.

Answer 13

AOM (Acute otitis media)

weeks to months

Question 14

Antibiotics have minimal effect on _____ and should not be used.

Answer 14

OME (Otitis media effusion)