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Diagnosis of Otitis Media

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Otitis Media: State of the art concepts and treatment
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Abstract

Otitis media with effusion (OME) and acute otitis media (AOM) are exceedingly common diseases, especially in the pediatric population. Treatment for OME and AOM are predicated on accurate diagnosis. Increasing effort is being made to be clarify diagnostic criteria to be certain of diagnosis of AOM before prescribing antibiotic therapy so as to reduce antibiotic burden and decrease healthcare expenditure. Despite this, there is no gold standard for the diagnosis of AOM or OME. It is a clinical diagnosis with evolving symptoms based on disease state and progression. The purpose of this section is to detail the diagnostic modalities available and demonstrate how they might be used to guide therapeutic intervention.

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References

  1. Casselbrant ML, Mandel EM. Epidemiology. In: Rosenfeld RM, Bluestone CD, editors. Evidence-Based otitis media. 2. ed. Hamilton: BC Decker; 2003. p. 147–62.

    Google Scholar 

  2. Centers for Disease Control and Prevention. Table 2: top 5 diagnoses at visits to office-based physicians and hospital outpatient departments by patient age and sex: United States 2008. In: National Ambulatory Health Care Survey 2008. Atlanta: Centers for Disease Control and Prevention; 2008.

    Google Scholar 

  3. Grijalva CG, Nuorti JP, Griffin MR. Antibiotic prescription rates for acute respiratory tract infections in US ambulatory settings. JAMA. 2009;302(7):758–66.

    Article  CAS  PubMed  Google Scholar 

  4. McCaig LF, Besser RE, Hughes JM. Trends in antimicrobial prescribing rates for children and adolescents. JAMA. 2002;287(23):3096–102.

    Article  PubMed  Google Scholar 

  5. Isaacson G. Endoscopic anatomy of the pediatric middle ear. Otolaryngol Head Neck Surg. 2014;150(1):6–15.

    Article  PubMed  Google Scholar 

  6. Lieberthal AS, Carroll AE, Chonmaitree T, et al. The diagnosis and management of acute otitis media. Pediatrics. 2013;131(3):e964–99.

    Google Scholar 

  7. American Academy of Pediatrics Sub-committee on Management of Acute Otitis Media. Diagnosis and management of acute otitis media. Pediatrics. 2004;113(5):1451–65.

    Article  Google Scholar 

  8. Karma PH, Penttilä MA, Sipilä MM, Kataja MJ. Otoscopic diagnosis of middle eareffusion in acute and non-acute otitismedia. I. The value of different otoscopic findings. Int J Pediatr Otorhinolaryngol. 1989;17(1):37–49.

    Article  CAS  PubMed  Google Scholar 

  9. McCormick DP, Lim-Melia E, Saeed K, Baldwin CD, Chonmaitree T. Otitis media: can clinical findings predict bacterial or viral etiology? Pediatr Infect Dis J. 2000;19(3):256–8.

    Article  CAS  PubMed  Google Scholar 

  10. Schwartz RH, Stool SE, Rodriguez WJ, Grundfast KM. Acute otitis media: toward a more precise definition. Clin Pediatr (Phila). 1981;20(9):549–54.

    Article  CAS  Google Scholar 

  11. Rothman R, Owens T, Simel DL. Does this child have acute otitis media? JAMA. 2003;290(12):1633–40.

    Article  CAS  PubMed  Google Scholar 

  12. Niemela M, Uhari M, Jounio-Ervasti K, Luotonen J, Alho OP, Vierimaa E. Lack of specific symptomatology in children with acute otitis media. Pediatr Infect Dis J. 1994;13(9):765–8.

    Article  CAS  PubMed  Google Scholar 

  13. Heikkinen T, Ruuskanen O. Signs and symptoms predicting acute otitis media. Arch Pediatr Adolesc Med. 1995;149(1):26–9.

    Article  CAS  PubMed  Google Scholar 

  14. Ingvarsson L. Acute otalgia in children—findings and diagnosis. Acta Paediatr Scand. 1982;71(5):705–10.

    Article  CAS  PubMed  Google Scholar 

  15. Takata GS, Chan LS, Morphew T, Mangione-Smith R, Morton SC, Shekelle P. Evidence assessment of the accuracy of methods of diagnosing middle ear effusion in children with otitis media with effusion. Pediatrics. 2003 Dec;112(6 Pt 1):1379–87.

    Article  PubMed  Google Scholar 

  16. Paradise JL, Smith CG, Bluestone CD. Tympanometric detection of middle ear effusion in infants and young children. Pediatrics. 1976;58:198–210.

    CAS  PubMed  Google Scholar 

  17. Johnson KC. Audiologic assessment of children with suspected hearing loss. Otolaryngol Clin N Am. 2002;35(4):711–32.

    Article  Google Scholar 

  18. Jerger JF. Clinical experience with impedence audiometry. Arch Otolaryngol. 1970;92:311–24.

    Article  CAS  PubMed  Google Scholar 

  19. Rosenfeld RM, Culpepper L, Doyle KJ, Grundfast KM, Hoberman A, Kenna MA, et al. Clinical practice guideline: otitis media with effusion. Otolaryngol Head Neck Surg. 2004;130(Suppl. 5):S95–118.

    Article  PubMed  Google Scholar 

  20. Sanford CA, Schooling T, Frymark T. Determining the presence or absence of middle ear disorders: an evidence-based systematic review on the diagnostic accuracy of selected assessment instruments. Am J Audiol. 2012;21:251–68.

    Article  PubMed  Google Scholar 

  21. Teppo H, Revonta M. Comparison of old, professional and consumer model acoustic reflectometers in the detection of middle-ear fluid in children with recurrent acute otitis media or glue ear. Int J Pediatr Otorhinolaryngol. 2007;71:1855–72.

    Article  Google Scholar 

  22. Stach BA. Audiologic evaluation of otologic/neurotologic disease. In: Gulya AJ, Minor LB, Poe DS, editors. Glasscock, Shambaugh, Surgery of the ear. 6. ed. Connecticut:People’s Medical Publishing House; 2010. p. 189–221.

    Google Scholar 

  23. Cunningham M. AAP clinical report hearing assessment in infanct and children. Pediatrics. 2003;111:436–40.

    Google Scholar 

  24. Vaz LE, Kleinman KP, Raebel MA, Nordin JD, Lakoma MD, Dutta-Linn MM, Finkelstein JA. Recent trends in outpatient antibiotic use in children. Pediatrics. 2014;133(3):375–85. doi:10.1542/peds.2013-2903. (Epub 2014 Feb 2).

    Article  PubMed Central  PubMed  Google Scholar 

  25. McGrath LJ, Becker-Dreps S, Pate V, Brookhart MA. Trends in antibiotic treatment of acute otitis media and treatment failure in children, 2000–2011. PLoS ONE. 2013;8(12):e81210. doi:10.1371/journal.pone.0081210.

    Article  PubMed Central  PubMed  Google Scholar 

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Correspondence to Christopher R. Grindle MD .

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© 2015 Springer International Publishing Switzerland

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Grindle, C. (2015). Diagnosis of Otitis Media. In: Preciado, D. (eds) Otitis Media: State of the art concepts and treatment. Springer, Cham. https://doi.org/10.1007/978-3-319-17888-2_8

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  • DOI: https://doi.org/10.1007/978-3-319-17888-2_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-17887-5

  • Online ISBN: 978-3-319-17888-2

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