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Otitis Media

A reader questioned Dr. Howie's article on otitis media (PIR 1993;14: 320-323) on three counts:

1. His recommendation not to use amoxicillin as first-line treatment for acute otitis media;

2. His discussion of otitis media with perforation; and

3. His recommendation to place tympanostomy tubes in "any youngster who has otitis media with effusion that persists for 6 to 12 weeks."

Dr. Howie responds:

"I share with you the frustration of the ever-present challenge of otitis media with effusion (OME), whether acute, recurrent acute, or persistent, in the pediatric population that we serve. The `relapsogenic nature' of aminopenicillins (eg, ampicillin and amoxicillin) seems to be part and parcel of the problem.






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Pediatrics Pediatrics in Review
Copyright © 1994 by the American Academy of Pediatrics.