EBT1 Task 2
Types of Sources of Evidence/Appropriateness/Classifications The article from the American Academy of Pediatrics (AAP) and American Academy of Family Physicians (AAFP) that addresses acute otitis media (AOM) is a filtered resource. This article is appropriate for use in nursing practice as it establishes diagnosis and management guidelines for the treatment of AOM. In addition the article recommends treatment options for the symptoms of AOM and addresses the concept of watchful waiting. The is an evidence based guideline as it provides recommendations for practice and was created a systematic review and best clinical research in clinical literature. The Block article, Causative Pathogens,…show more content…
The prescribing of antibiotics for AOM can have an impact on the health of the treated children and increases the cost of providing care. Watchful waiting is the recommendation from the AAFP & AAP in cases of uncomplicated AOM that are a result of other illnesses such as an upper respiratory virus. In the past doctors would immediately prescribe antibiotics for the signs and symptoms of an ear infection, however new evidence shows that over time bacteria have become resistant to certain antibiotics and so other means of treatment must be explored. If a child presents with symptoms of AOM and has no other underlying illness or condition, then watchful waiting is an appropriate avenue of treatment for the child. The research showed placebo trials had favorable outcomes and children responded without antibiotic interventions. If watchful waiting is used the child is not exposed to unneeded antibiotics and this reduces the chances of antibiotic resistance in the future. In addition, it also reduces the amount of money spent on health care needs in the form of purchasing medications. It should be noted that watchful waiting should only be considered in cases of uncomplicated AOM and that education should be given to care givers on when to follow up if symptoms do not improve within 48-72 hours. In the even that symptoms do not resolve then antibiotics may become necessary.