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Signs and Symptoms Predicting Acute Otitis Media-Reply

Signs and Symptoms Predicting Acute Otitis Media-Reply Abstract We admire Dr Hick's talent for using words. However, as far as our article is concerned, Dr Hick has clearly missed the point. The aim of our study was not to assess treatment outcome, nor do we recommend polypharmacy in the treatment of otitis media. In fact, we share Dr Hick's concern for increasing antimicrobial resistance, but that is another story. The present study was undertaken to determine whether acute otitis media can be predicted by the symptoms of the children, which could serve as a basis for advising parents and thus even decrease the need to see a physician. Regrettably, we are not to blame for the results indicating that this is not the case. Is Dr Hick basically trying to say that otitis media should be left undiagnosed? If so, we do not speak the same language. There is general agreement—at least in developed countries—that diagnosing References 1. Pichichero ME. Assessing the treatment alternatives for acute otitis media . Pediatr Inject Dis J . 1994;13( (suppl 1) ):S27-34.Crossref 2. Teele DW, Klein JO, Chase C, Menyuk P, Rosner BA, the Greater Boston Otitis Media Study Group. Otitis media in infancy and intellectual ability, school achievement, speech, and language at age 7 years . J Infect Dis . 1990;162:685-694.Crossref 3. Bluestone CD, Klein JO. Otitis Media in Infants and Children . Philadelphia, Pa: WB Saunders Co; 1988:1-3. 4. Ruuskanen O, Heikkinen T. Otitis media: etiology and diagnosis . Pediatr Infect Dis J . 1994;13( (suppl 1) ):S23-26.Crossref 5. Bluestone CD. Definitions and classifications: state of the art . In: Lim DJ, Bluestone CD, Klein JO, Nelson JD, eds. Recent Advances in Otitis Media with Effusion . Philadelphia, Pa: BC Decker Inc; 1984:1-4. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Pediatrics & Adolescent Medicine American Medical Association

Signs and Symptoms Predicting Acute Otitis Media-Reply

Signs and Symptoms Predicting Acute Otitis Media-Reply

Abstract

Abstract We admire Dr Hick's talent for using words. However, as far as our article is concerned, Dr Hick has clearly missed the point. The aim of our study was not to assess treatment outcome, nor do we recommend polypharmacy in the treatment of otitis media. In fact, we share Dr Hick's concern for increasing antimicrobial resistance, but that is another story. The present study was undertaken to determine whether acute otitis media can be predicted by the symptoms of the children,...
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Publisher
American Medical Association
Copyright
Copyright © 1995 American Medical Association. All Rights Reserved.
ISSN
1072-4710
eISSN
1538-3628
DOI
10.1001/archpedi.1995.02170240103023
Publisher site
See Article on Publisher Site

Abstract

Abstract We admire Dr Hick's talent for using words. However, as far as our article is concerned, Dr Hick has clearly missed the point. The aim of our study was not to assess treatment outcome, nor do we recommend polypharmacy in the treatment of otitis media. In fact, we share Dr Hick's concern for increasing antimicrobial resistance, but that is another story. The present study was undertaken to determine whether acute otitis media can be predicted by the symptoms of the children, which could serve as a basis for advising parents and thus even decrease the need to see a physician. Regrettably, we are not to blame for the results indicating that this is not the case. Is Dr Hick basically trying to say that otitis media should be left undiagnosed? If so, we do not speak the same language. There is general agreement—at least in developed countries—that diagnosing References 1. Pichichero ME. Assessing the treatment alternatives for acute otitis media . Pediatr Inject Dis J . 1994;13( (suppl 1) ):S27-34.Crossref 2. Teele DW, Klein JO, Chase C, Menyuk P, Rosner BA, the Greater Boston Otitis Media Study Group. Otitis media in infancy and intellectual ability, school achievement, speech, and language at age 7 years . J Infect Dis . 1990;162:685-694.Crossref 3. Bluestone CD, Klein JO. Otitis Media in Infants and Children . Philadelphia, Pa: WB Saunders Co; 1988:1-3. 4. Ruuskanen O, Heikkinen T. Otitis media: etiology and diagnosis . Pediatr Infect Dis J . 1994;13( (suppl 1) ):S23-26.Crossref 5. Bluestone CD. Definitions and classifications: state of the art . In: Lim DJ, Bluestone CD, Klein JO, Nelson JD, eds. Recent Advances in Otitis Media with Effusion . Philadelphia, Pa: BC Decker Inc; 1984:1-4.

Journal

Archives of Pediatrics & Adolescent MedicineAmerican Medical Association

Published: Nov 1, 1995

References