We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
JAMA Patient Page |

Acute Otitis Media FREE

Sharon Parmet, MS, Writer; Cassio Lynm, MA, Illustrator; Richard M. Glass, MD, Editor
JAMA. 2003;290(12):1666. doi:10.1001/jama.290.12.1666.
Text Size: A A A
Published online

Acute otitis media is an infection of the middle ear, the area of the ear directly behind the tympanic membrane (ear drum). Acute otitis media is one of the most commonly diagnosed childhood illnesses and is responsible for more than 30 million clinic visits a year in the United States.

The September 24, 2003, issue of JAMA includes an article on diagnosing acute otitis media in children.


Acute otitis media usually starts when germs that cause colds or sore throats (either bacterial or viral infections) spread to the middle ear. Once in the ear, the infection can cause a buildup of pus or fluid behind the eardrum. The pressure on the eardrum can lead to significant pain in some children.

Physicians diagnose acute otitis media using an otoscope, an instrument placed in the opening of the ear that allows the doctor to look at the eardrum. Inflammation of the eardrum can indicate an infection. Lack of movement of the eardrum can also indicate infection. If there is fluid or pus behind the eardrum, it usually does not move easily.


  • Fever

  • Ear pain or pulling at one or both ears

  • Irritability

  • Decreased appetite

  • Fluid coming from one or both ears

These symptoms can occur for other reasons, so it is important for children with these symptoms to be evaluated by a physician.


Acute otitis media may be treated with antibiotics if there is a bacterial infection. When children have recurrent or chronic (persisting long-term) otitis media, it may be necessary to have a tympanostomy tube placed in the eardrum. The tube falls out naturally after several months and the hole heals naturally. Treatment depends on the characteristics of each child, so it is important for your child to have an evaluation if these symptoms develop.



To find this and other Patient Pages, go to the Patient Page Index on JAMA's Web site at http://www.jama.com. A Patient Page on childhood ear infections was published in the December 8, 1999, issue.

Sources: National Institute on Deafness and Other Communication Disorders, American Academy of Pediatrics

The JAMA Patient Page is a public service of JAMA. The information and recommendations appearing on this page are appropriate in most instances, but they are not a substitute for medical diagnosis. For specific information concerning your personal medical condition, JAMA suggests that you consult your physician. This page may be photocopied noncommercially by physicians and other health care professionals to share with patients. Any other print or online reproduction is subject to AMA approval. To purchase bulk reprints, call 718/946-7424.




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Otitis Media, Child

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Make the Diagnosis: Otitis Media, Child