Kisah seorang dokter di suatu sore:
“It’s Monday afternoon and a mother brings her 2-year-old son to your office with low-grade fever, upper respiratory symptoms, and apparent ear discomfort. You have seen him regularly for well-child visits with no previous visits for illness. When you enter the exam room, he is playing and interacting appropriately with his mother. Your examination reveals redness and bulging of the right tympanic membrane with a poor light reflex and immobility on insufflation. He appears to be well-hydrated. You inform the mother that her son has an inner ear infection. Because they live nearby and he otherwise appears well, you recommend that she give him acetaminophen for pain and fever and observe him for two to three days to see if he feels better. Looking surprised, the mother asks, “If my child has an ear infection, doesn’t he need a course of amoxicillin or some other antibiotic?””
Menurut laporan Venekamp dkk (2015), antibiotics may provide small benefit in children with AOM (reduction in pain for minority of children without rapid spontaneous resolution), but may increase risk of adverse effects (Grade: level 2 [mid-level] evidence).
This report is an update of a Cochrane review first published in The Cochrane Library in Issue 1, 1997 and previously updated in 1999, 2005, 2009 and 2013.
Antibiotics for acute otitis media in children [Link]
Artikel bagus dari AAFP [Link]