Is Amoxicillin Effective in Treatment of Acute Otitis Media in Routine Outpatient Practice?
Sudhir V Sane, Jayashree R Balip, Shwetha Vernekar
Citation Information :
Sane SV, Balip JR, Vernekar S. Is Amoxicillin Effective in Treatment of Acute Otitis Media in Routine Outpatient Practice?. Pediatr Inf Dis 2022; 4 (1):13-15.
Aim and objective: To evaluate the effectiveness of low-dose amoxicillin in otitis media.
Materials and methods: All children presenting to our outpatient clinic with signs and symptoms suggestive of otitis media and need of antibiotics according to AAP criteria were enrolled.
Intervention: A 10-day course of oral amoxicillin at 40 mg/kg/day in three divided doses.
Main outcome: Symptomatic relief after 48 hours and normal tympanic membrane at the end of therapy.
Results: There were 201 cases. One hundred and sixty-one out of these completed a 10-day course of amoxicillin. One hundred and forty-six (90.68%. 95% CI 86.17–95.18%) responded to amoxicillin. On follow-up of these 67.44% had normal tympanic membrane whereas 33.56% had persistent middle ear fluid.
Conclusion: Amoxicillin remains the first-line therapy in the treatment of acute otitis media (AOM) in children.
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