When is prescribing an antibiotic for otitis media appropriate verse waiting?
When is prescribing an antibiotic for otitis media appropriate verse waiting?
SNAPPS WRITTEN ASSIGNMENT TEMPLATE
What is the self-directed learning issue that was identified in your oral presentation?
[Write your self-directed learning topic that was identified in your presentation here]when is
When is prescribing an antibiotic for otitis media appropriate versus waiting?
Research the self-directed learning issue and provide a summary of your findings which is fully supported by appropriate, scholarly, EBM references.
[Research should be confined to within this textbox. Reference page is on a separate page]
Otitis media refers to an infection of the middle ear caused by a viral or bacterial infection. The condition is predominant in children although it can also affect adults although in rare cases. Approximately 80% of the children will develop a case of otitis media, while 80-90% of the cases will develop before they reach the age of 3 years. The different forms of otitis media include acute otitis media, otitis media with effusion, and chronic otitis media with effusion, (Sakulchit & Goldman, 2017).
Routine prescription of antibiotics to manage otitis media has been discouraged due to adverse events in some patients, the emergence of antibiotic resistance, and the fact that antibiotics do not increase the rate of the middle are fluid clearance. Rate of resolution for otitis media cases is 81% without antibiotic intervention compared to 93% with antibiotic intervention and thus watchful waiting has been recommended as a better alternative strategy to managing this condition in children older than 6 months. However, there are some exceptions where administration of antibiotics is considered appropriate, (Gaddey et al., 2019).
Prescription of antibiotic is considered appropriate when the patient has a perforated tympanic membrane with purulent drainage or when the patient has a bulging tympanic membrane and middle ear effusions. Perforations in the tympanic membrane are likely to allow passage of bacteria or viruses into the middle ear complicating the infection and thus antibiotics should be administered to prevent bacterial infections, (Gaddey et al., 2019).
Antibiotic prescription is also considered appropriate for patients with severe systemic illnesses with a high fever ≥39°C, or severe otalgia/ear pain or those who have been severely ill within the past 48 hours, and if the patient’s symptoms worsen or they do not improve within 24 to 48 hours, (Sakulchit & Goldman, 2017).
Watchful waiting however, is recommended when the patient is mildly ill with a low-grade fever < 39°C or if the patient is responding to antipyretics and has a mild otalgia/ear pain or when they have a moderate bulging of the tympanic membrane, (Sakulchit & Goldman, 2017).
When is prescribing an antibiotic for otitis media appropriate verse waiting?
REFERENCES
[Must be in APA format]
Gaddey, H. L., Wright, M. T., & Nelson, T. N. (2019). Otitis Media: Rapid Evidence Review. American family physician, 100(6), 350-356.
Sakulchit, T., & Goldman, R. D. (2017). Antibiotic therapy for children with acute otitis media. Canadian Family Physician, 63(9), 685-687.
When is prescribing an antibiotic for otitis media appropriate verse waiting?
Question
The student’s findings of the self-directed learning topic must be completed on the “SNAPPS WRITTEN ASSIGNMENT TEMPLATE”
The report should be between 4-6 paragraphs in length, discussing something learned from the student’s research about the self-directed learning topic.
Correct grammar, punctuation, and spelling should be observed.
In-text citations and reference page should be written in APA format and scholarly evidence-based medicine (EBM) references must be used.