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Article: FACTORS ASSOCIATED WITH CLINICAL OUTCOMES IN ACUTE OTITIS MEDIA
- Article from:
- The Annals of Otology, Rhinology & Laryngology
- Article date:
- October 1, 2004
- Author:
CopyrightCopyright Annals Publishing Company Oct 2004. Provided by ProQuest LLC. (Hide copyright information)
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Acute otitis media (AOM) is a common disease in childhood. If predictors of outcome in AOM were known, it would be possible to individualize therapy. Our aim was to identify factors that predict the outcome in AOM. We enrolled 368 children with AOM (ages, 10 to 86 months). The severity of symptoms and the severity of tympanic membrane changes were graded with a scoring system. Nasopharyngeal colonization with middle ear pathogens was determined on day 1. Three outcomes were assessed: persistence of symptoms at day 5, persistence of tympanic membrane changes at day 28, and recurrence of acute symptoms prior to day 28. Persistence of symptoms at day 5 was associated with younger age (35 ...