|
1
|
Hayashi T, Kitamura K, Hashimoto S, Hotomi M, Kojima H, Kudo F, Maruyama Y, Sawada S, Taiji H, Takahashi G, Takahashi H, Uno Y, Yano H. Clinical practice guidelines for the diagnosis and management of acute otitis media in children-2018 update. Auris Nasus Larynx 2020; 47:493-526. [PMID: 32576390 DOI: 10.1016/j.anl.2020.05.019] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Revised: 05/07/2020] [Accepted: 05/27/2020] [Indexed: 01/29/2023]
Abstract
OBJECTIVE "Clinical Practice Guidelines for the Diagnosis and Management of Acute Otitis Media in Children-2018 update (2018 Guidelines)" aim to provide appropriate recommendations about the diagnosis and management of children with acute otitis media (AOM), including recurrent acute otitis media (recurrent AOM), in children under 15 years of age. These evidence-based recommendations were created with the consensus of the subcommittee members, taking into consideration unique characteristics of bacteriology and antimicrobial susceptibilities of AOM pathogens in Japan, as well as global advances in vaccines. METHODS The subcommittee re-evaluated key clinical issues based on SCOPE (a master plan of the guidelines) and created clinical questions (CQ) about the diagnosis and management of AOM patients. A literature search of the publications from 2013 to 2016 were added to the Guidelines 2013, not only to assess the evidence on the effectiveness of vaccines, but also to provide up to date information of the bacteriology and antimicrobial susceptibilities of AOM causative pathogens in Japan. RESULTS We have proposed guidelines for disease severity-based management of AOM patients, after classifying AOM severity into mild, moderate, and severe, based on age, clinical manifestations, and otoscopic findings. CONCLUSIONS Precise otoscopic findings are essential for judging AOM severity, which can lead to appropriate management of AOM patients.
Collapse
Affiliation(s)
- Tatsuya Hayashi
- Department Otolaryngology-Head and Neck Surgery, Asahikawa Medical University, 2-1-1-1 Midorigaoka Higashi, Asahikawa-shi, Hokkaido 078-8510, Japan.
| | - Ken Kitamura
- Shonan University of Medical Sciences, 16-48 Kamishinano, Totsuuka-ku, Yokohama-shi, Kanagawa 244-0806, Japan
| | - Sho Hashimoto
- Department of Otolaryngology Head and Neck Surgery, National Hospital Organization Sendai Medical Center, 2-11-12 Miyagino, Miyagino-ku, Sendai-shi, Miyagi 983-8520, Japan
| | - Muneki Hotomi
- Department of Otolaryngology Head and Neck Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama-shi, Wakayama 641-8509, Japan
| | - Hiromi Kojima
- Department of Otolaryngology, Tokyo Jikei University School of Medicine, 3-25-8 Nishishimbashi, Minato-ku, Tokyo 105-8461, Japan
| | - Fumiyo Kudo
- Alice ENT Clinic, 2-36-21 Makuharihongo, Hanamigawa-ku, Chiba-shi, Chiba 262-0033, Japan
| | - Yumiko Maruyama
- Department of Otolaryngology, Kurobe City Hospital, 1108-1 Mikkaichi, Kurobe-shi, Toyama 938-8502, Japan
| | - Shoichi Sawada
- Sawada ENT and Eye Clinic, 1734-5 Fukui-cho, Kochi-shi, Kochi 780-0965, Japan
| | - Hidenobu Taiji
- Department of Otolaryngology, Saiseikai Central Hospital, 1-4-17 Mita, Minato-ku, Tokyo 108-0073, Japan
| | - Goro Takahashi
- Yamahoshi ENT Clinic, 1-4-6 Shitoro, Nishi-ku, Hamamatsu-shi, Shizuoka 432-8069, Japan
| | - Haruo Takahashi
- Department of Otolaryngology Head and Neck Surgery, Nagasaki University, 1-12-4 Sakamoto, Nagasaki-shi, Nagasaki 852-8523, Japan
| | - Yoshifumi Uno
- Uno ENT Clinic, 3702-4 Tomihara, Kita-ku, Okayama-shi, Okayama 701-1153, Japan
| | - Hisakazu Yano
- Department of Microbiology and Infectious Diseases, Nara Medical University, 840 Shijo-cho, Kashihara-shi, Nara 634-8521, Japan
| |
Collapse
|
|
2
|
Kitamura K, Iino Y, Kamide Y, Kudo F, Nakayama T, Suzuki K, Taiji H, Takahashi H, Yamanaka N, Uno Y. Clinical Practice Guidelines for the diagnosis and management of acute otitis media (AOM) in children in Japan – 2013 update. Auris Nasus Larynx 2015; 42:99-106. [DOI: 10.1016/j.anl.2014.09.006] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2014] [Revised: 09/05/2014] [Accepted: 09/18/2014] [Indexed: 11/28/2022]
|
|
4
|
Tanaka K, Ichikawa T, Yano J. Acute otitis media due to Haemophilus influenzae with antibiotic resistance: experience of a tertiary hospital in Tokyo city. Int J Pediatr Otorhinolaryngol 2009; 73:817-9. [PMID: 19303149 DOI: 10.1016/j.ijporl.2009.02.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2008] [Revised: 02/16/2009] [Accepted: 02/18/2009] [Indexed: 10/21/2022]
Abstract
OBJECTIVE The objective of the study was to clarify the associated factors of pediatric acute otitis media (AOM) due to Haemophilus influenzae with antibiotic resistance. METHODS A retrospective chart review was conducted for all AOM cases due to H.influenzae in children younger than 2 years of age that were presented at the Department of Otolaryngology, Japanese Red Cross Medical Hospital (JRCMC), Tokyo, from April 2005 to March 2007. RESULTS Seventy-six children were enrolled in this study. Multivariate analysis showed that residing at the JRCMC infant home (OR, 3.7; [95% CI, 1.1-12.8]; P=0.039) and a history of consuming macrolide in the past month (OR, 4.7; [95% CI, 1.1-21.5]; P=0.041) were the associated factors for AOM due to beta-lactamase positive, ampicillin-resistant H. influenzae. CONCLUSIONS A history of consuming macrolide in the past month should be noted on antibiotic prescriptions for children with AOM who are younger than 2 years of age.
Collapse
Affiliation(s)
- K Tanaka
- Department of Otolaryngology, Japanese Red Cross Medical Center, Hiroo 4-1-22, Shibuya-ku, Tokyo 150-8935, Japan.
| | | | | |
Collapse
|