ReviewEuropean journal of pediatrics2011
Poor adherence to antibiotic prescribing guidelines in acute otitis media--obstacles, implications, and possible solutions.
Review in European journal of pediatrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Impact of acute otitis media clinical practice guidelines on antibiotic and analgesic prescriptions: a systematic review.Archives of disease in childhood · 2018Pooled it
- Parental views on otitis media: systematic review of qualitative studies.European journal of pediatrics · 2016Pooled it
- Article
- Discordance Among Antibiotic Prescription Guidelines Reflects a Lack of Clear Best Practices.Open forum infectious diseases · 2021Article
- Understanding Parents' Experiences and Information Needs on Pediatric Acute Otitis Media: A Qualitative Study.Journal of patient experience · 2019Article
- Trends in healthcare utilization and costs associated with acute otitis media in the United States during 2008-2014.BMC health services research · 2018Article
- Incidence and economic burden of acute otitis media in children aged up to 5years in three Middle Eastern countries and Pakistan: A multinational, retrospective, observational study.Journal of epidemiology and global health · 2017Observational
- Parental views on acute otitis media (AOM) and its therapy in children--results of an exploratory survey in German childcare facilities.BMC pediatrics · 2015Article
- The impact of the Italian guidelines on antibiotic prescription practices for acute otitis media in a paediatric emergency setting.Italian journal of pediatrics · 2015Article
- Pneumococcal conjugate vaccines and otitis media.International journal of otolaryngology · 2012Article
- Innate immunity and the role of defensins in otitis media.Current allergy and asthma reports · 2011Review
- Increasing Adherence to Acute Otitis Media Treatment Duration Guidelines using a Quality Improvement Approach.Pediatric quality & safetyArticle
- Proposed Quality Indicators for Aspects of Pediatric Acute Otitis Media Management.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-facialeArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
Abstract
Many countries now have guidelines on the clinical management of acute otitis media. In almost all, the public health goal of containing acquired resistance in bacteria through reduced antibiotic prescribing is the main aim and basis for recommendations. Despite some partial short-term successes, clinical activity databases and opinion surveys suggest that such restrictive guidelines are not followed closely, so this aim is not achieved. Radical new solutions are needed to tackle irrationalities in healthcare systems which set the short-term physician-patient relationship against long-term public health. Resolving this opposition will require comprehensive policy appraisal and co-ordinated actions at many levels, not just dissemination of evidence and promotion of guidelines. The inappropriate clinical rationales that underpin non-compliance with guidelines can be questioned by evidence, but also need specific developments promoting alternative solutions, within a framework of whole-system thinking. Promising developments would be (a) physician training modules on age-appropriate analgesia and on detection plus referral of rare complications like mastoiditis, and (b) vaccination against the most common and serious bacterial pathogens.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.