Podcasts about acute otitis media

Episode one of four on Paediatric ENT conditions. Doctors Lisa and Sara are joined by Paediatric Ear Nose and Throat Consultant Dr Simone Schaefer for this episode on Recurrent Acute Otitis Media (AOM) in Children. A common problem, we take a classic presentation and work through getting the diagnosis right, red flags and differentials before discussing management and which children may need referrals. We then discuss the limited options of what might be done in an ENT clinic and helpful resources for families.   You can use these podcasts as part of your CPD - we don't do certificates but they still count :) Useful Resources: NICE Clinical Knowledge Summaries on Acute Otitis Media (including initial presentation, persistent infections and recurrent infections (updated August 2024): https://cks.nice.org.uk/topics/otitis-media-acute/ Hoberman et al. 2021 NEJM Tympanostomy tube placement or medical management for recurrent acute otitis media: https://www.nejm.org/doi/full/10.1056/NEJMoa2027278 Resource for Patients: https://www.nhs.uk/conditions/ear-infections/ https://www.hopkinsmedicine.org/health/conditions-and-diseases/ear-infections-in-babies-and-toddlers ENT UK: Decision making aid for parents re Grommets: https://www.entuk.org/patients/conditions/5/grommets_a_decisionmaking_aid_for_parents ENT UK: Explainer leaflets, How to use ear drops or sprays: https://www.entuk.org/patients/conditions/74/how_to_use_ear_drops_or_sprays The Royal Children's Hospital Melbourne. Clinical Paediatric Guideline (good algorithm, pictures of erythematous Tympanic Membranes versus Acute Otitis Media with bulging/effusion): https://www.rch.org.au/clinicalguide/guideline_index/acute_otitis_media/ ENT Guidelines for Derbyshire (includes details of Topical Drops in specific cases: https://www.derbyshiremedicinesmanagement.nhs.uk/assets/Clinical_Guidelines/Formulary_by_BNF_chapter_prescribing_guidelines/BNF_chapter_12/Chapter_12_Ear_nose_and_oropharynx.pdf ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback Email us at: primarycarepodcasts@gmail.com ___ This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it's release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

The First Principles of Acute Otitis Media: Join us as we uncover the principles that underly what is such a common GP presentation that affects children worldwide! We cover everything from the anatomical basis to the specific management guidelines. Hear us out?1PM Notion: Acute Otitis Media=== Other Links ===Check out our new website⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠1pm.wiki⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for the ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Notion document⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, free Anki flashcards, and podcast episodes.Check out our Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/firstprinciplesofmedicine/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Recorded Mid 2023. Host: Jason D'Silva. Guests: ⁠JT Yeung⁠, Adian Izwan and Rebecca Richardson (Becky's Notes). Produced by ⁠⁠⁠⁠Jasper Jackson.If you have any ideas or feedback, comment on this Notion document, or shoot us an email at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠hello@1pm.wiki⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠***We're really excited to be collaborating with Becky from Becky's notes, a UK based resource, to produce infographics for our visual learners out there. Becky's notes brings together all the key topics medical students need to know in a readily available place, reviewed by specialists in the field. These visually striking notes are a refreshing change from all the boring textbooks.You can check her out on Instagram at ⁠⁠⁠⁠@beckysnotes01⁠⁠⁠ ⁠and get her books at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://linktr.ee/Beckysnotes⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠© First Principles of Medicine 2024

The First Principles of Acute Otitis Media Summary: Join us as we summarise the key principles and takeaways about diagnosis and management of AOM.1PM Notion: Acute Otitis Media=== Other Links ===Check out our new website⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠1pm.wiki⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for the ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Notion document⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, free Anki flashcards, and podcast episodes.Check out our Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/firstprinciplesofmedicine/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Recorded Mid 2023. Host: Jason D'Silva. Guests: ⁠JT Yeung⁠, Adian Izwan and Rebecca Richardson (Becky's Notes). Produced by ⁠⁠⁠⁠Jasper Jackson.If you have any ideas or feedback, comment on this Notion document, or shoot us an email at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠hello@1pm.wiki⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠***We're really excited to be collaborating with Becky from Becky's notes, a UK based resource, to produce infographics for our visual learners out there. Becky's notes brings together all the key topics medical students need to know in a readily available place, reviewed by specialists in the field. These visually striking notes are a refreshing change from all the boring textbooks.You can check her out on Instagram at ⁠⁠⁠⁠@beckysnotes01⁠⁠⁠ ⁠and get her books at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://linktr.ee/Beckysnotes⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠© First Principles of Medicine 2024

In this episode, Tracey Davidoff, MD and Joe Toscano, MD discuss the August 2024 Evidence-Based Urgent Care article, Diagnosis and Management of Acute Otitis Media and Acute Otitis Externa for the Urgent Care ClinicianIntroduction to Acute Otitis Media and Externa in Urgent CareAnatomy and Pathophysiology of Ear ConditionsDiagnosis and Epidemiology of Otitis MediaComplications and Pathogens of Otitis MediaUnderstanding Otitis ExternaDifferential Diagnosis for Ear PainPhysical Examination and Diagnostic ToolsTreatment and Disposition for Acute Otitis MediaWatch and Wait Approach in ChildrenAntibiotic Selection and DosageConjunctivitis Otitis SyndromePenicillin Allergies and AlternativesOtitis Externa: Treatment and DispositionSpecial Populations and ComplicationsKey Points and PearlsConclusion

An appointment for an ear infection is a breeze in your native language, let's make it a breeze in Spanish as well. Stay tuned. She has a bilateral ear infection. Tiene infección de los dos oídos. I'm going to treat it with Amoxicillin. Le voy a dar Amoxicilina. Give it to her twice a day for ten days. Se la da dos veces al día durante diez días. If she still has fever or ear pain greater than 48 hours, please return to the clinic. Si sigue la calentura o el dolor pasando cuarenta y ocho horas por favor regresa a la clínica. We will need to follow up in 8-12 weeks to monitor the resolution of the associated middle ear effusion. Ocupamos sedimento en ocho a doce semanas para revisar la resolución del líquido en el oído medio. ¡Hasta Luego! CLICK HERE for the Extended Lesson: Otitis Media with Effusion Disclaimer: this program is not meant to teach medicine or give medical advice, if you or someone you know is in need of medical care, please visit your assigned medical provider.

Next to the common cold, acute otitis media is the most frequently diagnosed illness in children in the United States. Dr. Alejandro Hoberman discusses medical management for recurrent acute otitis media.

Over nearly 30 years, the Cochrane Acute Respiratory Infections Group has produced close to 200 reviews. One of their earliest, antibiotics for acute otitis media in children, was first published in 2000 and it was updated for the fourth time in November 2023. Here's two of the authors, Sharon Sanders and Paul Glasziou from the Institute for Evidence-Based Healthcare at Bond University in Australia to talk about the latest findings.

Over nearly 30 years, the Cochrane Acute Respiratory Infections Group has produced close to 200 reviews. One of their earliest, antibiotics for acute otitis media in children, was first published in 2000 and it was updated for the fourth time in November 2023. Here's two of the authors, Sharon Sanders and Paul Glasziou from the Institute for Evidence-Based Healthcare at Bond University in Australia to talk about the latest findings.

In the February podcast series, I am talking about common ear problems,how to prevent them, and more Ear discharge not stopping? Confused about different ear problems?Health FAQ Answered Acute Otitis Media Can Cause Earache with Ear discharge:This Is What You Must Know --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthwealthbridge/message

Recap and review the top pearls from episodes #16 Kawasaki Disease, #19 Concussion, and #20 Acute Otitis Media with a few members of our production team! It's Fables from the Cribside! (FFTC), our series providing a rapid review of recent Cribsiders episodes for your spaced learning.

Rocking in the new year with a back to basics episode that focuses on the most common chief complaint among the pediatric population, Acute Otitis Media.  We cover the presentation, exam, diagnostic criteria, and treatment options in this educational episode focusing on getting back to the basics.  In our Story You May Have Missed, we give our take on the pig heart transplant.  This episode is sponsored by Eko Health.  Find out more at EKOHealth.com and use code JSP for $50 dollars off any stethoscope.   Just Some Podcast Social Media www.facebook.com/justsomepodcast www.twitter.com/justsomepodcast www.instagram.com/justsomepodcast www.patreon.com/justsomepodcast Huge shoutout to Falcon Five-O for use of their music "Hard Living" and "Failure's Not the Same Without You".

Next to the common cold, acute otitis media is the most frequently diagnosed illness in children in the United States. Dr. Alejandro Hoberman discusses medical management for recurrent acute otitis media.

Acute otitis media is an extremely common infection in kids - 75% of children have at least one episode by school age. In fact, 50% of kids have had at least 3 episodes of AOM by the time they are 3 years. Generally, it doesn't require antibiotic therapy, but there are some cases in which antibiotic therapy is recommended.  In this episode, we go through the presentation, pathophysiology, relevant anatomy, aetiology, complications, management and more!   Links and resources: Follow us on Instagram @yourekiddingrightdoctors Facebook: https://www.facebook.com/yourekiddingrightpod-107273607638323/ Our email is yourekiddingrightpod@gmail.com Make sure you hit SUBSCRIBE/FOLLOW so you don't miss out on any pearls of wisdom and RATE if you can to help other people find us! (This isn't individual medical advice, please use your own clinical judgement and local guidelines when caring for your patients)

Date: June 11th, 2021 Guest Skeptic: Dr. Dennis Ren is a paediatric emergency medicine fellow at Children's National Hospital in Washington, DC. Reference: McLaren SH, et al. Invasive bacterial infections in afebrile infants diagnosed with acute otitis media. Pediatrics 2021 Case: You are working with a medical student at the emergency department when a 2-month-old boy is […]

Hello and welcome to episode 26 and a special welcome to those who have started listening recently. This week's subject is taken from an editorial that appears in the New England Journal of Medicine regarding the role of ‘grommets' or tympanostomy tubes in the management of recurrent acute otitis media in children. The article references a study published in the same edition which reports a randomised controlled trial comparing the insertion of grommets with medical treatment for recurrent infections. However the experience in the trial is a demonstration of the difficulties of producing valuable results and providing clinical evidence when there is significant crossover within the two arms of the trial. As a result of the crossover the effects of the intervention are diluted and the ‘intention-to-treat' analysis shows a non-significant effect. Most sections of the editorial are read for you to listen and the links to both articles are shown in the notes. Additionally, I would be very grateful if you would visit the website of the podcast and leave a comment on the blog entry to indicate where you are listening from and say what, if any, your connection is with healthcare. Thanks and keep well. https://www.nejm.org/doi/full/10.1056/NEJMe2104952?query=recirc_curatedRelated_article https://www.nejm.org/doi/full/10.1056/NEJMoa2027278?_ga=2.209131026.1410344250.1621347011-502440880.1621347011

Otitis media can refer to a few different pathologies, and so it is important to specify what type you are referring to. In general, there are two types that are commonly seen: these are acute otitis media (AOM) and chronic otitis media with effusion (also known as serous otitis media) . This episode focuses causes, presentation, history/physical exam, and treatment of acute otitis media.Please visit our website at www.theotoapproach.com to check out the show notes, as well as all the references to sources used in this episode.

We’re ear with a new episode with on acute otitis media joined by guest Dr. Eric Baum, a pediatric otolaryngologist in Connecticut. In this episode, we discuss important physical exam findings used to diagnose acute otitis media, as well as the role of pneumatic otoscopy in performing ear exams. Dr. Baum also tells us about treatment options for acute otitis media, how ear tubes work and when they are indicated, and complications to watch out for. Listen in to hear the latest on acute otitis media!

Episode 41: Otitis Media.Diagnosis and treatment of acute otitis media in children, when to avoid antibiotics, use of short course of antibiotics, question of the week about polyarthralgia and fatigue.Today is February 22, 2021.  Question of the Month  by Claudia Carranza  A 49-year-old female comes to clinic reporting bilateral wrist and ankle pain for 1 month. The pain is worse with movement and responds well to ibuprofen. She denies joint swelling, warmth, or morning stiffness. She reports feeling more fatigued than usual this past month. You note on her chart that she was diagnosed with COVID-19 approximately 6 weeks ago for which she did not need to be hospitalized.  She denies history of diabetes, thyroid disease, lupus, rheumatoid arthritis, trauma, or anemia. She denies fecal, urinary, or vaginal bleeding, no headaches, no chest pain, no SOB or dizziness. Exam is remarkable for a “tired look” and tenderness to palpation at bilateral wrist and ankles. No signs of inflammation on joints is noted. What do you think is the etiology of this patient’s symptoms and what workup would you order (if any)? Let’s repeat the question: What do you think is the etiology of the symptoms in a 49-year-old female who complains of symmetrical POLYARTHRALGIA- and fatigue for 1 month, and what workup would you order (if any)? Send us your answer to rbresidency@clinicasierravista.org before March 22, 2021. The winner will be announced and will receive a prize.Introduction to episode:This week we announced 3 new chief residents. Dr Manny Tu will replace Dr Lisa Manzanares, a big supporter of this podcast and chief for more than 1 year, who graduated last week as didactics chief. Dr McGill and Dr Gomes will continue to be chiefs until they hand over the baton to Dr Gina Cha and Dr Alejandro Gonzalez-Perez. Congrats, dear residents! (or should we say sorry?)When you treat an infection, you need to know the recommended duration of treatment. Normally, the more severe an infection is, the longer the duration of treatment. In many instances, shorter courses of antibiotics can have similar efficacy to longer courses[1], and treating for shorter periods may also reduce the development of resistance and infections by C. difficile. Some infections in which this applies are, for example, community-acquired pneumonia (CAP), where treatment can be shortened to 3-5 days instead of 7-10 days; nosocomial pneumonia which can be treated for 7 days instead of 10-15 days; pyelonephritis, 5-7 days instead of 10-14 days; intra-abdominal infection (after source control) for 4 days instead of 10 days; COPD exacerbation, less than 5 days instead of more than 7 days; bacterial sinusitis, 5 days instead of 10; uncomplicated cellulitis, 5-6 days instead of 10 days. Of course, you must use your clinical judgement when deciding to use a shorter course of antibiotic treatment.As a reminder, FDA has also warned about the relationship between fluoroquinolones and an increased risk of aortic dissection. On their website, it states that “Health care professionals should avoid prescribing fluoroquinolones to patients who have an aortic aneurysm or are at risk for an aortic aneurysm, such as patients with peripheral atherosclerotic vascular diseases, hypertension, certain genetic conditions such as Marfan syndrome and Ehlers-Danlos syndrome, and elderly patients”. They also say you “may prescribe fluoroquinolones to these patients only when no other treatment options are available”[2]. Other safety concerns reported by FDA about fluoroquinolones include: significant decrease in blood sugar and certain mental health side effects, disabling side effects of the tendons, muscles, joints, nerves, and central nervous system, restriction in use for certain uncomplicated infections, peripheral neuropathy, and tendinitis and tendon rupture. Therefore, think about this warning before prescribing fluoroquinolones[2].This is Rio Bravo qWeek, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it’s sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. ____________________________Acute Otitis Media.Dr Katherine Schlaerth is a native of Pennsylvania. She graduated from Manhattan College and received her medical degree from the State University of New York, Buffalo. Dr. Schlaerth completed her pediatrics residency at Children’s Hospital LA and an Infectious disease fellowship at LAC-USC Medical Center. She is board certified in pediatrics, pediatric infectious diseases, family medicine and has a Certificate of Added Qualifications in Geriatrics. Dr. Schlaerth was an associate professor at Loma Linda and is an associate professor emeritus at USC. She has a special interest in research and has published in addiction medicine, child development and other areas.Some topics discussed during this episode included definition of otitis media; risk factors such as bottle feeding, tobacco exposure, viral illness; common symptoms such as fever, irritability, ear tugging; diagnosis by pneumatic otoscopy; erythema of tympanic membrane as a sign of otitis media; treatment with antibiotics; use of amoxicillin as the first line of treatment; amoxicillin/clavulanate if amoxicillin fails; use of azithromycin, cefdinir and ceftriaxone for treatment, prevention with vaccination against Hib, pneumococcus and influenza, and more.  Page BreakTips:Tip #1: TympanocentesisAlthough impractical in primary care, tympanocentesis may be done in children with severe, ongoing symptoms despite use of multiple antibiotics. Middle ear fluid can then be cultured and antibiotics adjusted based on bacterial sensitivities. Tip #2: Common pathogensCommon pathogens in neonates with acute otitis media include Group B streptococci, gram-negative enteric bacteria, and Chlamydia trachomatis. Empiric sepsis treatment should be started without delay, especially in neonates younger than 2 weeks with fever and acute otitis media.Tip #3: When to give antibioticsGive antibiotics in these cases: acute otitis media with otorrhea or severe symptoms at any age, and BILATERAL otitis without otorrhea in younger than 2-year-olds. Observation without initial antibiotics AND follow up in 48-72 hours is an option in low-risk children who are older than 2 years old with otitis WITHOUT otorrhea. Tip #4: Pain controlDon’t forget to treat pain related to otitis media. To provide short term pain relief, use acetaminophen, ibuprofen, or alternating between the two. Tip #5: Failure of treatmentFailure of antibiotic treatment occurs when the severe symptoms do not improve within 48 to 72 hours after initiation of treatment, or if acute otitis media is diagnosed again within 30 days after appropriate treatment.Tip #6: Duration of antibioticsFor patients under 2 years of age OR with severe symptoms, give PO antibiotics for 10 days; in patients older than 2 years without severe symptoms and without otorrhea, 5-7 days may be enough. Make sure parents understand that fever and ear pain may persist for 48-72 hours. Some signs to look for that warrant a trip back to clinic or the ER include vomiting, headaches, high fever, and pain behind the ears. If recovery is uneventful, follow up 3 months after completing antibiotics or during the next well child visit, whichever comes sooner.Tip #7: TympanostomyConsider tympanostomy tubes in children with 3 or more episodes of acute otitis media within 6 months, or 4 episodes within one year, with one episode in the preceding 6 months. After the mics turned off: Topical treatmentAfter having this conversation with Dr Shclaerth, she gave me this additional information about use of topical antibiotics in acute otitis media and otorrhea:Tympanic membrane perforation is not commonly seen in purulent otitis media, but often stops the pain because it is essentially the draining of an abscess, i.e. otitis media. A culture of the purulent material can be done if concern exists for unusual bacteria. Generally, the rupture of the tympanic membrane heals over rapidly. Topical ofloxacin and ciprofloxacin has not been studied extensively in the treatment of children with ACUTE otitis media with acute tympanic membrane perforation. These topical medications should be used for 7 to 10 days in children with CHRONIC suppurative otitis media or in otorrhea with TYMPANOSTOMY tube, in those cases, topical antibiotics are equivalent to oral therapy. However, ACUTE otitis media with tympanic membrane perforation is treated with ORAL antibiotics, not topical. ____________________________For your Sanity: Jokesby Steven Saito and Tana ParkerWhy are pediatricians always in a rush? They have little patients.I told my wife she was drawing her eyebrows too high. She looked surprised.Someone stole my mood ring. I don’t know how I feel about that.Why do cows were bells? Because their horns don’t work.Now we conclude our episode number 41 “Acute Otitis Media”. Dr Schlaerth explained when to use antibiotics and when to use a more conservative approach in the treatment of acute otitis media. Remember that antibiotics are not always the right answer, we want to avoid undesired side effects and prevent antibiotic resistance whenever possible. The question of the month is: What do you think is the etiology of the symptoms in a 49-year-old female who complains of symmetrical polyarthralgia and fatigue for 1 month, and what workup would you order (if any)? Send us your answer to rbresidency@clinicasierravista.org before March 22, 2021 and win a prize! Remember, even without trying, every night you go to bed being a little wiser.Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email RBresidency@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza, Claudia Carranza, Valerie Civelli, Katherine Schlaerth, Alex Tompkins, Steven Saito, and Tana Parker. Audio edition: Suraj Amrutia. See you next week! _____________________References:Dimopoulos G, Matthaiou DK, Karageorgopoulos DE, Grammatikos AP, Athanassa Z, Falagas ME. Short- versus long-course antibacterial therapy for community-acquired pneumonia: a meta-analysis. Drugs. 2008;68(13):1841-54. doi: 10.2165/00003495-200868130-00004. PMID: 18729535. https://pubmed.ncbi.nlm.nih.gov/18729535/ FDA warns about increased risk of ruptures or tears in the aorta blood vessel with fluoroquinolone antibiotics in certain patients, FDA, https://www.fda.gov/drugs/drug-safety-and-availability/fda-warns-about-increased-risk-ruptures-or-tears-aorta-blood-vessel-fluoroquinolone-antibiotics Gaddey HL, Wright MT, Nelson TN. Otitis Media: Rapid Evidence Review. Am Fam Physician. 2019 Sep 15;100(6):350-356. PMID: 31524361. https://pubmed.ncbi.nlm.nih.gov/31524361/ Wright D, Safranek S. Treatment of otitis media with perforated tympanic membrane. Am Fam Physician. 2009 Apr 15;79(8):650, 654. PMID: 19405408. https://pubmed.ncbi.nlm.nih.gov/19405408/ 

We are onto the next subsection – pediatrics! In this week’s episodes, I discuss the presentation and management of acute otitis media.

We are onto the next subsection – pediatrics! In this week’s episodes, I discuss the presentation and management of acute otitis media.

Acute otitis media is a bacterial infection of the temporal bone's mucosally lined air storage spaces typically caused by Streptococcus pneumoniae, Haemophilus influenzae, or Streptococcus pyogenes. The disease is often accompanied by mastoid tenderness caused by the presence of pus in the mastoid air cells. Here, material forms within the middle ear cleft and the pneumatized mastoid air cells and petrous apex. This disease is usually precipitated by a viral upper respiratory tract infection that obstructs the eustachian tube and results in the accumulation of infected fluid and mucous. Key symptoms include fever, decreased hearing, aural pressure, and otalgia accompanied by a physical finding of erythema and decreased tympanic membrane mobility. With appropriate counseling, spontaneous healing of the tympanic membrane occurs in most cases. If, however, the perforation continues for a prolonged period of time, the patient may develop chronic otitis media. Swelling over the mastoid bone or the association of cranial neuropathies or central findings indicates severe illness requiring urgent care. Acute otitis media can often be treated successfully with a combination of antibiotics and nasal decongestants. The antibiotics of choice are frequently amoxicillin (80-90 mg/kg/day divided twice daily), erythromycin with sulfonamide (50 mg/kg/day and 150 mg/kg/day respectively), cefaclor (20-40 mg/kg/day), and amoxicillin-clavulanate (20-40 mg/kg/day). The practitioner should only resort to surgical drainage of the middle ear when the patient suffers from severe otalgia or otitis complications. Reoccurring acute otitis media can be managed with long-term antibiotic prophylaxis (typically single daily doses of sulfamethoxazole (500 mg) or amoxicillin (250 or 500 mg) over 1 to 3 months). On the other hand, if the otitis media is recurring but the patient is immunocompromised, tympanocentesis can be resorted to. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

Have you used lignocaine drops to help the pain caused by an acute otitis media?    Check out the RCH Melbourne guidelines on acute otitis media- https://www.rch.org.au/clinicalguide/guideline_index/Acute_otitis_media/ Also read this article from the Journal of Family Practice https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183864/   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by ScoreSquad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice always consult your usual doctor    

Seen Your Video For Acute Otitis Media Discharge Instructions? by SAEM

The listener will learn the common risk factors and basic epidemiology, pathophysiology, recognize the clinical presentation and management as well as differentiate between acute otitis media, otitis media with effusion, and middle ear effusion. Initial publication: September 24, 2019. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

A look at this common and controversial topic. Hosts: Brian Gilberti, MD Audrey Bree Tse, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Acute_Otitis_Media.mp3 Download Leave a Comment Tags: Pediatrics Show Notes Background: The most common infection seen in pediatrics and the most common reason these kids receive antibiotics The release of the PCV (pneumococcal conjugate vaccine), or Prevnar vaccine, has made a big difference since its release in 2000 (Marom 2014) This, along with more stringent criteria for what we are calling AOM, has led to a significant decrease in the number of cases seen since then 29% reduction in AOM caused by all pneumococcal serotypes among children who received PCV7 before 24 months of age The peak incidence is between 6 and 18 months of age Risk factors: winter season, genetic predisposition, day care, low socioeconomic status, males, reduced duration of or no breast feeding, and exposure to tobacco smoke. The predominant organisms: Streptococcus pneumoniae, non-typable Haemophilus influenzae (NTHi), and Moraxella catarrhalis. Prevalence rates of infections due to Streptococcus pneumoniae are declining due to widespread use of the Prevnar vaccine while the proportion of Moraxella and NTHi infection increases with NTHi now the most common causative bacterium Strep pneumo is associated with more severe illness, like worse fevers, otalgia and also increased incidence of complications like mastoiditis. Diagnosis The diagnosis of acute otitis media is a clinical one without a gold standard in the ED (tympanocentesis) Ear pain (+LR 3.0-7.3), or in the preverbal child,

A look at this common and controversial topic. Hosts: Brian Gilberti, MD Audrey Bree Tse, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Acute_Otitis_Media.mp3 Download Leave a Comment Tags: Pediatrics Show Notes Background: The most common infection seen in pediatrics and the most common reason these kids receive antibiotics The release of the PCV (pneumococcal conjugate vaccine), or Prevnar vaccine, has made a big difference since its release in 2000 (Marom 2014) This, along with more stringent criteria for what we are calling AOM, has led to a significant decrease in the number of cases seen since then 29% reduction in AOM caused by all pneumococcal serotypes among children who received PCV7 before 24 months of age The peak incidence is between 6 and 18 months of age Risk factors: winter season, genetic predisposition, day care, low socioeconomic status, males, reduced duration of or no breast feeding, and exposure to tobacco smoke. The predominant organisms: Streptococcus pneumoniae, non-typable Haemophilus influenzae (NTHi), and Moraxella catarrhalis. Prevalence rates of infections due to Streptococcus pneumoniae are declining due to widespread use of the Prevnar vaccine while the proportion of Moraxella and NTHi infection increases with NTHi now the most common causative bacterium Strep pneumo is associated with more severe illness, like worse fevers, otalgia and also increased incidence of complications like mastoiditis. Diagnosis The diagnosis of acute otitis media is a clinical one without a gold standard in the ED (tympanocentesis) Ear pain (+LR 3.0-7.3), or in the preverbal child,

Check out our post on the Down East EM blog for shownotes, references, and more. In this podcast we sit down with Dr. Daria Thompson, a pediatric hospitalist at Tufts Medical Center and an old friend of mine to talk ear infections- a common disease commonly diagnosed... and possibly commonly done wrong. We'll talk definitions of disease, common alternative diagnoses, and treatment plans by age. I assure you- you'll learn something new.     Author: Jason Hine MD and Daria Thompson MD Peer Reviewer: Jeff Holmes MD

Acute otitis media is a common infection in children, with research showing that up to four in every five children in high-income countries will have at least one episode by the age of three. Influenza vaccines have been suggested as a way to prevent this, and an updated Cochrane Review from October 2017 looks at the latest evidence. Here’s the review’s lead author, Norhayati from the Universiti Sains Malaysia in Kubang Kerian, Malaysia, to tell us more.

Acute otitis media is a common infection in children, with research showing that up to four in every five children in high-income countries will have at least one episode by the age of three. Influenza vaccines have been suggested as a way to prevent this, and an updated Cochrane Review from October 2017 looks at the latest evidence. Here’s the review’s lead author, Norhayati from the Universiti Sains Malaysia in Kubang Kerian, Malaysia, to tell us more.

Acute otitis media is a common infection in children, with research showing that up to four in every five children in high-income countries will have at least one episode by the age of three. Influenza vaccines have been suggested as a way to prevent this, and an updated Cochrane Review from October 2017 looks at the latest evidence. Here’s the review’s lead author, Norhayati from the Universiti Sains Malaysia in Kubang Kerian, Malaysia, to tell us more.

This podcast will cover AOM and Otitis Externa with etiology, diagnosis, and management! Disclaimer: The information presented in this blog is is for educational and informational purposes only. It should not be construed as medical advice; this is general information and is not patient specific. The information is not guaranteed to be correct, complete, or current. Credit to bensound.com for intro/exit music! I referred to pediatric care online and UpToDate for content.

OK, so this is the least exciting topic in Pediatric Emergency Medicine… With that being said, you will all see it. And we need to be good at looking at ears, diagnosing acute otitis media, and appropriately choosing when and which antibiotic to prescribe. Follow @PEMTweets on Twitter References Karma PH, et al., Pneumatic otoscopy […]

How to diagnose and manage patients with ear infections

This podcast summarizes the 2016 Canadian Paediatric Society (CPS) position statement on the management of acute otitis media in children six months of age and older. In this episode, listening will learn about the pathogenesis, etiology, and risk factors of acute otitis media. They will also learn to diagnose and to manage uncomplicated acute otitis media, depending on the clinical situation and presence of severity criteria. This podcast was developed by Jade Chénard-Roy, in collaboration with Dr. Nicole Le Saux, a paediatric infectious diseases physician and associate Professor at the University of Ottawa, and Dr. Joan L Robinson, a paediatric infectious diseases specialist and associate professor at the University of Alberta. Related Content:  Video: Approach to Otoscopy

Bob John, PharmD hosts PPAG Conversations, the official Podcast of the Pediatric Pharmacy Association. Dr. John speaks with experts in the field of pediatric pharmacy to discuss current issues in pediatric pharmacy, including pediatric and neonatal critical care, general pediatrics, and hematology/oncology.   During this Podcast, Dr. John hosts Dr. Nicholas Fusco, who highlights a newly published article in the New England Journal of Medicine, titled, "Shortened Antimicrobial Treatment for Acute Otitis Media in Young Children." About our Guest Nicholas M. Fusco, PharmD, BCPS, is employed as Clinical Assistant Professor, Department of Pharmacy Practice at the University at Buffalo School of Pharmacy and Pharmaceutical Sciences (UB-SPPS), since 2013.  Dr. Fusco earned his PharmD from UB-SPPS (2010) and completed his PGY1 Pharmacy Practice and PGY2 Pediatric Specialty residencies at the University of Maryland School of Pharmacy (2010-2012). He received his Board Certification in Pharmacotherapy (BCPS) in 2011. Dr. Fusco practices and teaches in acute care general pediatrics. Very active in PPAG, Dr. Fusco has served as Chair of the Fall and Annual Conference Planning Committees, and the Education Committee.       About the Host of PPAG Conversations Bob John, Pharm.D., BCPS, BCPPS, a member of the PPAG Board of Directors, is currently a NICU Clinical Pharmacy Specialist at The Children’s Hospital at Saint Francis and the Residency Program Director for his institution’s PGY1. He completed a PGY1 residency at Saint Francis Hospital and a PGY2 residency at The University of Oklahoma College of Pharmacy. He spent his first two years after residency working as the Pediatric Pulmonology Specialist at Children’s Mercy Hospital and Clinics, after which he worked as a Clinical Assistant Professor of Pediatric Pharmacotherapy, Department of Pharmacy at The University of Oklahoma College of Pharmacy. Dr. John has been involved with the development of a pharmacy-driven pharmacokinetic monitoring service, NICU dosing weight protocol, and served on the evidence-based medicine committee, in which he has helped develop clinical practice guidelines at his institutions. Dr. John has been an active member of PPAG since 2007. In addition to being a member of the education committee, he has served as the chair of the webinar committee, and the education committee where he organized the educational content provided at the 2016 PPAG annual meeting. In 2015, he and his colleagues were recognized by PPAG with a Best Practice Award for their development of an outpatient on call service. He was awarded the Presidential Citation from PPAG in 2014 and 2016. He currently chairs the web-based competency committee, working to provide additional educational content in new ways to PPAG members. In addition to his work in PPAG, he served as Chair of the Pediatric PRN for ACCP. Introduction music credits: "Reverie (small theme)" by _ghost 2010 - Licensed under Creative Commons Attribution (3.0)

This podcast features Dr. Sheldon Kaplan, discussing the duration of antibiotic treatment in young children with acute otitis media; and Dr. Anna Lok, discussing the use of tenofovir alafenamide for the treatment of chronic hepatitis B virus infection. Dr. Jennifer Mitty hosts.

This week we are joined by 4th year University of Ottawa student Zuhaib Mir who will be discussing Otitis Externa. After this podcast you will be able to: Discuss the relevant anatomy and pathophysiology of Otitis Externa Understand the risk factors associated Describe the clinical presentation and diagnosis Review Differential diagnosis Recommend treatment for Acute Otitis Media, including when you should refer to OHNS Outline possible complications and reasons for referral

This week we are joined by 4th year University of Ottawa student Zuhaib Mir who will be discussing Acute Otitis Media. After this podcast you will be able to: Define Acute Otitis Media Understand the Pathophysiology and risk factors of Acute Otitis Media Describe the clinical presentation and differential diagnosis Recommend treatment for Acute Otitis Media, including when you should refer to OHNS Outline possible complications of Acute Otitis Media

Pediatric Grand Rounds with Mark Smith, MD, FAAP