Il trattamento sintomatico dell’otite media acuta: uno studio collaborativo in Pediatria ambulatoriale
LUCA RONFANI1, SERGIO CONTI NIBALI2, FEDERICO MARCHETTI3 PER IL GRUPPO DI LAVORO OMA-ACP*
1Centro per la Salute del Bambino/ONLUS, Trieste; 2Pediatra di famiglia, Messina; 3Clinica Pediatrica, IRCCS “Burlo Garofolo”, Trieste * L’elenco dei partecipanti è riportato alla fine del lavoro.
SINTOMATIC TREATMENT OF ACUTE OTITIS MEDIA: A COLLABORATIVE STUDY IN PAEDIATRIC GENERAL PRACTICE
Key words: Antibiotics, Otitis media, Guidelines, Paediatric practice
Available evidence from controlled trials on antibiotic treatment of acute otitis media (AOM)
show that the benefit of antibiotic treatment is marginal. A large observational prospective
study aimed at evaluating to which extent symptomatic treatment alone was acceptable effective
and applicable in everyday practice, was carried out by 169 paediatric practicioners.
1277 children older than 12 months were included in the study. Criteria for antibiotic treatment
were: recurrent otitis media, othorrea, and persistence of fever or pain after 48-72
hours. Costs and benefits of treatment options were illustrated to the parents. Out of 1099
children eligible for symptomatic treatment, 743 (68%) were successfully treated without antibiotic.
None of these had complications at 30-day follow-up control. Amoxycillin was used
in 8 out of 10 children for whom antibiotic treatment was prescribed,. The study represents
an example of successful application of evidence-based medicine in the paediatric practice.