Term
|
Definition
| severe otalgia & >/=39 degrees C (102.2F) |
|
|
Term
|
Definition
| AOM w/ mild otalgia & <39 degrees C (102.2F) |
|
|
Term
|
Definition
-3+ AOM in past 6 months
or
-4+ episodes in last 12 months (with 1 in past 6 months) |
|
|
Term
|
Definition
Daycare
caucasian
1st episode< 6mnths old
lack breastfeeding
low econ status
cig smoke
anatomic malformations
presence of siblings |
|
|
Term
|
Definition
S. pneumoniae (penicillin resist)
Beta lactamase production by
-H.influenzae
-M. catarrhalis |
|
|
Term
| Why kids more susceptible to AOM |
|
Definition
Immature immune sys
ear canal is shorter
adenoids in nasopharynx |
|
|
Term
|
Definition
-new onset otorrhea or mod-sev bulg of TM
-mild buldge of TM & recent ear pain <48hrs
-MEE must be present |
|
|
Term
|
Definition
APAP 10-15mg/kg/dose
IBU 5-10mg/kg/dose
Narcotics for mod -sev pain |
|
|
Term
|
Definition
>/= 6 mnths old[sev s/s or Temp >/=39C]
<24 months Bilateral w/out sev s/s |
|
|
Term
|
Definition
| 90mg/kg/D Amox-Clav in 2-3 doses |
|
|
Term
|
Definition
Cefdinir
Cefuroxime
Cefpodoxime
Ceftriaxone |
|
|
Term
| AOM TX after 48-72 hrs tx failed |
|
Definition
Ceftriaxone x 3 days
OR
Clindamycin +/- 3rd gen Cephalasporin |
|
|
Term
| Duration of Tx beta lactams |
|
Definition
<6yrs old=10days
severe Sxs=10 days
>/= 6yrs old= 5-7 days |
|
|
Term
|
Definition
-nonsevere unilateral 6-23mnth old
-nonsever AOM >/=24 months old |
|
|
Term
|
Definition
pneumococcal
Flu
H. Influenzae |
|
|
Term
| Most common cause of hearing loss in childhood |
|
Definition
OME
otitis media with effusion |
|
|
Term
|
Definition
Watch for 3months
-tympanostmy tubes |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
ear drops Fluoroquinolone (1st line)
-oflox or cipro
[NO STEROIDS!!] |
|
|
