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Vol. 15 - Num. 59

Evidence based Pediatrics

Should we treat otitis with delayed antibiotics in infants?

E Llerena Santa Cruza, Juan Ruiz-Canela Cáceresb

aServicio de Pediatría. Hospital Universitario Doctor Josep Trueta. Girona. España.
bPediatra. CS Virgen de África. Sevilla. España.

Reference of this article: Llerena Santa Cruz E, Ruiz-Canela Cáceres J. Should we treat otitis with delayed antibiotics in infants? Rev Pediatr Aten Primaria. 2013;15:271-3.

Published in Internet: 09-09-2013 - Visits: 10290


Authors’ conclusions: the delayed antibiotic treatment doesn’t make worse the recovery from acute otitis media, assessed through improvement in signs and symptoms. Nevertheless the delay until the starting of antibiotics can be associated to a transient clinical deterioration with a longer period of symptoms and economic losses.

Reviewers’ commentary: this study doesn’t provide valuable information to base a change in our clinical practice regarding the decision to treat early or not the otitis in children between 6 months and 3 years old. Further studies are needed to establish which of these patients may benefit from delayed treatment.


Infant Otitis media Treatment



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