Term
| What age group for diagnosis of AOM in children? |
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Definition
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Term
| Many AOM cases are viral or bacterial? |
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Definition
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Term
Because most cases tend to be viral, observation is normally the initial "treatment". Explain.
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Definition
Observation period is 48 - 72 hours and used to assess clinical improvement without antibiotics.
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Term
| When is observation no preferred? |
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Definition
Children < 6 months are given antibiotics (even with an uncertain diagnosis).
Note: children 6 months - 2 years should be given antibiotics if severe illness. Once children are > 2 years, give antibiotics if severe illness. |
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Term
| How to treat the pain associated with AOM in children? |
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Definition
Treat the pain with acetaminophen or ibuprofen. Can use topical benzocaine in children > 5 years of age. |
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Term
| What is the primary treatment of AOM? |
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Definition
high - dose amoxicillin (90 mg/kg/day) in q 12 h or q8h. |
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Term
| What is secondary treatment should primary fail? |
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Definition
high - dose amoxicillin/clavulanate 90 mg/kg/day. Can also use cefdinir, cefpodoxime, cefprozil, or cefuroxime. |
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Term
| If patient has allergy to amoxicillin. Give what? |
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Definition
azithromycin, clarithromycin, erthromycin - sulfisoxazole or trimethoprim - sulfamethoxazole |
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Term
| Can ceftriaxone be given? |
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Definition
| Ceftriaxone can be given 50 mg IM/IV x 3 days |
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Term
Regarding Augmentin the dose is 90 mg/kg/day of amoxicillin and 6.4 mg/kgday of clavulanate in 2 divided doses. What's so special about Augmentin ES - 600? |
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Definition
Augmentin ES - 600 is a powder. Each 5mL contains 600 mg amoxicillin and 42.9 mg clavulanic acid. |
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Term
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Definition
Prevnar is primarliy for preventing pneumococcal meningitis and pneumonis but also reduces otitis media. |
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Term
Prevnar, the pneumoncoccal conjgate vaccine (PCV), is given to children between what ages? And how many serotypes does it have?
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Definition
2-23 months. 7 serotypes.
Adult prevnar has 23 serotypes. |
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