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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.
An otherwise healthy 17-month-old boy had a cold accompanied by two days of rhinorrhea, cough, and fever (temperature of up to 38.8°C [102°F]). On day 5 he became fussy and woke up crying multiple times during the night. The following day he was afebrile, and a physical examination was normal except for findings of slight redness of the left tympanic membrane with
The Clinical Problem
Strategies and Evidence
Diagnosis
Antibiotic Therapy
Resistant Otitis Media
Delayed Antibiotic Therapy
Prevention
Recurrent Acute Otitis Media
Areas of Uncertainty
Guidelines
Conclusions and Recommendations
Source Information
From the Division of Pediatric Infectious Diseases, University of Virginia Health System, Charlottesville.
Address reprint requests to Dr. Hendley at the Division of Pediatric Infectious Diseases, University of Virginia Health System, Charlottesville, VA 22908, or at joh@virginia.edu.
Related Letters:
Otitis Media
Wald E. R., Hendley J. O.
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N Engl J Med 2003;
348:363, Jan 23, 2003.
Correspondence
This article has been cited by other articles:
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