Health professionals in the US commonly use antibiotics early to treat AOM, but health professionals in other countries such as the Netherlands generally use antibiotics to treat children over 2 years of age with AOM only if the infection has not abated 48 hours after diagnosis. The report offers recommendations for research including establishing uniform definitions and diagnostic criteria for AOM and identifying relevant clinical, bacteriologic, and societal outcomes. Agency for Healthcare Research and Quality. Management of Acute Otitis Media. Agency for Healthcare Quality and Research.
Clinical evidence shows limited effect of antibiotic treatment on children with acute otitis media.
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