Management of Acute Otitis Media Essay

This evidence meets the criteria for a filtered source. It was sourced online from the Official Journal of the American Academy of Pediatrics and Family Physicians. Specialists from multi medical disciplines assembled to create an integrative systematic study and review of the current evidence- based literature available for the treatment and management of Acute Otitis Media (AOM). The conclusions and findings were utilized to devise guidelines and a practice protocol that recommended early diagnosis and makes

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,

Madison O’Reilly is a 6-year-old Caucasian female who has been brought to the pharmacy’s walk in clinic. Her mother states, she woke up about 3 hours ago crying with pain in her right ear. She also has a fever of 102 Fahrenheit. The otoscopic exam reveals a red, bulging eardrum. Madison weighs 36 pounds/ 16 kg.

Otitis media (OM) is the main source of ear disease in Indigenous children (AIHW, 2014). OM can lead to fluctuating hearing loss and it usually does not show any symptoms so that detect without specialist screening is difficult (AIHW, 2014). Indigenous children’s development and schooling would be seriously affected as early childhood hearing loss is detrimental to brain development, lead to low language development and poor social development (AIHW, 2014). In Aboriginal and Torres Strait Islander children, the disease embodies early, often within the first two weeks of life, and usually presents as middle ear effusion, or glue ear (AIHW, 2014). The reasons for high rates of ear disease in Indigenous children are household overcrowding, passive smoking, premature birth, bottle feeding and malnutrition (AIHW, 2014). For the improvement measures, Haemophilus influenzae type b (Hib) vaccination and routine child ear and hearing check can help to improve these ear diseases (AIHW,

Acute inflammation of the middle ear with effusion is treated with one or two courses of antibiotics . Antihistamines and decongestants have been used, but they have not been proven effective unless there is also hay fever or some other allergic inflammation that contributes to the problem. Myringotomy with or

Professor P J Graham — Consultant Psychiatrist, Hospital for Sick Children, Great Ormond Street, London

In preschool children, acute infective conjunctivitis (AIC) is a common condition. It is usually mild and self-limiting, often requires no treatment or a doctor’s appointment. Evidence suggests that parents and guardians are advised by childcare providers (CPs) to take their children with conjunctivitis to their GP for assessment. However, some CPs will not permit affected children to return to child care until antibiotics have been prescribed, thus parents are obtaining antibiotics to get their child readmitted.

Ear pain can be in or near the inner ear or distant such as referred pain from a distant site. Ear pain is referred to as Otalgia. Inner ear pain known as otitis media occurs when infected fluid is present in the middle ear of the affected ear. This is frequently related to symptoms form a virus or by a bacterial infection. In contrast, the outer ear pain is outside or externa to the tympanic membrane. This is otitis externa. It may be caused by a foreign object, earwax, and even mastoiditis. Acute otitis media however is the most common cause of adult and pediatric ear pain (Sullivan, 2016).

Asthma is one of the most prevalent chronic diseases that you will encounter in the pediatric primary care setting, therefore, it is important for you to be familiar with the signs and symptoms of an asthma exacerbation, as well as how to base the management of the disease using current clinical guidelines. Using National Guidelines and Evidence Based literature develop a specific Asthma Action Plan for our iHuman patient.

Acute suppurative otitis media is inflammation of the mucous membrane lining of the middle ear cleft (consisting of the eustachian tube, tympanic cavity, mastoid antrum and mastoid air cells) produced by pus-forming organism [1]. It is a disease of multiple etiologies and is well known for its recurrence. ASOM often starts in infancy, and is among the top common childhood illnesses. It mainly affects children [2]. Infections usually results from bacterial and fungal causes, and in some cases secondary to other viral infections like upper respiratory tract infections (URTI) [3]. It may result in serious complications as mastoiditis, meningitis or intracranial abscess [4].

I only had one problem. I have had extremely sensitive ears ever since I can remember. I would not be surprised if I came out of my mother’s wound with an ear infection. I have had my tonsils removed, three sets of tubes, and so many antibiotics that doctor’s no longer needed to prescribe any to me. Chances were I had any they suggested on the second shelf of my medicine cabinet.

I do agree with your primary diagnosis of acute otitis media(AOM) based on the signs and symptoms of fever, ear pain and conductive hearing loss. The diagnosis of the acute infectious process of acute otitis can be made if three components are present: rapid onset, middle-ear effusion, and signs and symptoms of middle-ear inflammation. This has helped make the distinction between AOM and otitis media with effusion, a noninfectious process that does not require antibiotic treatment. Pneumatic otoscopy can be performed to detect impaired tympanic membrane mobility. An acutely inflamed tympanic membrane with purulence bulging from behind it will have reduced mobility. The majority of AOM infections resolve without antibiotic treatment. Home

Otitis media is the infection of the middle ear. Two common types of ear infection are Acute Otitis Media (AOM) and Otitis Media with Effusion (OME). Signs that point to AOM include pain, inflammation, fever, and hearing loss. Usually, AOM is a bacterial infection which frequently develops after the blockage of Eustachian tubes associated with a respiratory tract infections. OME is a middle ear effusion without acute inflammation and minimal symptoms, where fluid remains in the ear after the respiratory infection has resolved. This is a Quality Assessment/Quality Improvement project designed to determine of the rate of adherence to Otitis Media practice guidelines in the UMHS Pediatrics clinics. The charts of all pediatric patients seen the

Serous Otitis Media is the accumulation of fluid behind the ear drum (in the middle ear) and it usually occurs when the Eustachian tube is impaired. The Eustachian tube allows fluid to be drained from the ear to the back of your throat. It is not an infection, but in can lead to infections because it creates the ieal environment for bacteria to grow. Children experience this because of the shape of their tubes, which are shorter and have a smaller opening and therefore have an increased chance of getting clogged and infected. About 90% of children will have this before age of ten. But it is easily treated if fluid is present for 6 weeks- antibiotics. If fluid is present after 12 weeks-tubes are placed in the ear. The surgery is called myringotomy

Otitis externa also called swimmer’s ear in acute form has an annual incidence of approximately 1 percent and a lifetime prevalence of 10 percent (3). The prevalence of otitis externa varies between regions with a yearly rate of four per 1,000 in the US, 10 per 1,000 in the UK, and 12 per 1,000 in the Netherlands. It is seen in all age groups and is five times more common in swimmers (41). Findings demonstrate that otitis externa is a common condition with a 12-month period prevalence of greater than 1%. Females present more commonly than males in all age groups prior to retirement, and the peak period prevalence occurs in late middle age for females and in the 65 to 74 years age group for males. Among younger patients there is a seasonal effect