Acute Otitis Media

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Abstract
• Diagnosis and treatment of otitis media (OM) occupied approximately one third of a pediatrician's time between October 1978 and October 1979. Of 4,602 office visits for sickness, 18% involved a diagnosis of acute OM, and an additional 14% were for follow-up of OM. Incidence was highest in March and lowest in July-August. The 830 episodes involved 677 children aged 1 week to 17 years: 40% were 24 months old or younger, and 12% were 60 months old or older. Pain and querulousness were absent In 24% of those brought in for mild upper respiratory tract infection, and fever (38.2°C or higher) was absent in 75% of the study group. Of 650 children who returned ten days later for reevaluation, 50% had otoscopic or tympanometric signs of OM with effusion. (Am J Dis Child1983;137:155-158)