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Clinical Crossroads Update |

A 15-Month-Old Child With Recurrent Otitis Media, 2 Years Later

Eileen E. Reynolds, MD
JAMA. 2004;292(20):2515. doi:10.1001/jama.292.20.2515.
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In a Clinical Crossroads article published in the November 27, 2002 issue, Jack L. Paradise, MD, discussed a 15-month-old child who experienced frequent middle ear infections.1 The patient, “Sam,” had his first infection at 5 months of age and went on to have at least 6 more documented episodes of otitis media in the ensuing 6 months. His pediatrician and his parents had elected treatment with prophylactic amoxicillin.

Paradise discussed the definition of acute otitis media (AOM), its diagnosis by physical examination of the ear and tympanic membrane, and the epidemiology and risk factors for recurrent AOM. He reviewed the bacteriology, antibiotic choice, and duration of treatment for AOM. He discussed evidence-based treatments, such as prophylactic antibiotics and tympanostomy tubes, and the management of individual episodes of AOM in children with recurrent infections.

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