SynthesisThe Medical journal of Australia2021
Otitis media guidelines for Australian Aboriginal and Torres Strait Islander children: summary of recommendations.
Synthesis in The Medical journal of Australia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 7 of them syntheses that pooled it.
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The trial behind it
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
23 citing papers in PubMed, 7 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Topical antibiotics for chronic suppurative otitis media.The Cochrane database of systematic reviews · 2025Pooled it
- Topical versus systemic antibiotics for chronic suppurative otitis media.The Cochrane database of systematic reviews · 2025Pooled it
- Topical antibiotics with steroids for chronic suppurative otitis media.The Cochrane database of systematic reviews · 2025Pooled it
- Topical antiseptics for chronic suppurative otitis media.The Cochrane database of systematic reviews · 2025Pooled it
- Aural toilet (ear cleaning) for chronic suppurative otitis media.The Cochrane database of systematic reviews · 2025Pooled it
- Systemic antibiotics for chronic suppurative otitis media.The Cochrane database of systematic reviews · 2025Pooled it
- Antibiotics versus topical antiseptics for chronic suppurative otitis media.The Cochrane database of systematic reviews · 2025Pooled it
- Watchful Waiting Compared With Immediate Antibiotics for Urban Aboriginal and Torres Strait Islander Children With Uncomplicated Acute Otitis Media (WATCH): A Non-Inferiority Randomised Controlled Trial.The Medical journal of Australia · 2026Trial
- Trial
- Trial
- Stakeholder Perspectives on Ear and Hearing Health Service Provision for Aboriginal and Torres Strait Islander Children.The Australian journal of rural health · 2026Article
- High rates of suppurative otitis media among children attending urban clinics in Goroka, Eastern Highlands Province, Papua New Guinea: a cross-sectional study.The Lancet regional health. Western Pacific · 2026Article
- Article
- Evaluating the impact of the 'Blow, Breathe, Cough' health promotion intervention in resolving otitis media with effusion in children: An adaptive randomized-controlled trial protocol.Contemporary clinical trials communications · 2025Article
- Exploiting haem-iron dependence of nontypeableFrontiers in cellular and infection microbiology · 2025Review
- An evaluation of the quality of ear health services for Aboriginal children living in remote Australia: a cascade of care analysis.BMC health services research · 2023Article
- Early onset of otitis media is a strong predictor of subsequent disease in urban Aboriginal infants: Djaalinj Waakinj cohort study.Journal of paediatrics and child health · 2023Article
- Can non-typeablePediatric investigation · 2023Article
- Overcoming barriers: a review on innovations in drug delivery to the middle and inner ear.Frontiers in pharmacology · 2023Review
- [Strategies for preventing postoperative recurrence of adenoid hypertrophy].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2022Review
Corrections and comments
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Authors and funding
22 authors at 11 institutions in 1 country.
Funding
Abstract
introductionThe 2001 Recommendations for clinical care guidelines on the management of otitis media in Aboriginal and Torres Islander populations were revised in 2010. This 2020 update by the Centre of Research Excellence in Ear and Hearing Health of Aboriginal and Torres Strait Islander Children used for the first time the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. MAIN RECOMMENDATIONS: We performed systematic reviews of evidence across prevention, diagnosis, prognosis and management. We report ten algorithms to guide diagnosis and clinical management of all forms of otitis media. The guidelines include 14 prevention and 37 treatment strategies addressing 191 questions. CHANGES IN MANAGEMENT AS A RESULT OF THE GUIDELINES: A GRADE approach is used. Targeted recommendations for both high and low risk children. New tympanostomy tube otorrhoea section. New Priority 5 for health services: annual and catch-up ear health checks for at-risk children. Antibiotics are strongly recommended for persistent otitis media with effusion in high risk children. Azithromycin is strongly recommended for acute otitis media where adherence is difficult or there is no access to refrigeration. Concurrent audiology and surgical referrals are recommended where delays are likely. Surgical referral is recommended for chronic suppurative otitis media at the time of diagnosis. The use of autoinflation devices is recommended for some children with persistent otitis media with effusion. Definitions for mild (21-30 dB) and moderate (> 30 dB) hearing impairment have been updated. New "OMapp" enables free fast access to the guidelines, plus images, animations, and multiple Aboriginal and Torres Strait Islander language audio translations to aid communication with families.
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