Otitis Media News

 
 
  • Facial Barotrauma Can Mimic Acute Ischemic Stroke Unilateral facial paralysis resulting from increased middle ear pressure transmitted to the facial nerve can mimic acute ischemic stroke, according to a case report from a physician who treated the patient during an airplane flight.
  • Physicians Caring for Migrants Are 'Screaming Into the Void' Physicians along the border and across the nation tell their stories of providing care to newly arrived migrants in expected and unexpected places.
  • Alert 15 Docs Fired From Illinois Health System to Be Replaced With NPs A leaked internal memo says they will be replaced with advanced practice nurses as 'patients have made it very clear that they want less costly care and convenient access for lower-acuity issues.'
  • Alert FDA OKs First System for In-Office Tympanostomy Tube Placement The Tubes Under Local Anesthesia (Tula, Tusker Medical) system uses a small electrical current to deliver a local anesthetic into the ear drum prior to tube insertion in the outpatient setting.
  • Pneumococcal Conjugate Vaccine in Infancy Cuts Otitis Media Administration of pneumococcal conjugate vaccine (PCV) in early infancy substantially reduces the risk of pneumococcal acute otitis media (AOM), according to a new Cochrane review.
  • DTC Telemedicine Linked to More Antibiotics for ARIs Pediatric direct-to-consumer telemedicine visits resulted in more antibiotic prescriptions and less concordance with prescribing guidelines than in-person visits in a retrospective study.
  • Nearly 1 in 4 Antibiotic Rx Still Inappropriate in US Almost one quarter of outpatient antibiotic prescriptions are inappropriate, according to an analysis of data from 19.2 million patients.
  • Antibiotic Overuse Highest in Urgent Care Clinics Nearly half of urgent care patients diagnosed with conditions that don't require antibiotic treatment receive a prescription for an antibiotic.
  • Tonsillectomy May Worsen Long-term Health Outcomes Removal of tonsils, adenoids before age 9 years may have long-term health consequences, including increased risk for upper respiratory tract diseases and infections, a population-based study showed.
  • Antibiotics 'Not Needed' for Common Ear Infection Parents who take a poorly child to the GP with a common ear infection should not expect a course of antibiotics, says the UK National Institute for Health and Care Excellence.
  • Study IDs Children With AOM Who Benefit From Antibiotics Many children with acute otitis media recover without antimicrobials. Now researchers have found a prognostic factor that helps physicians identify children who most likely benefit from antibiotics.
  • Vaccines Have Changed the Epidemiology of Acute Otitis Media Acute otitis media incidence has dropped since 1989, but risk factors remain: attending day care, having a family history, or having it at a young age. Editorialists say vaccination should continue.
  • PASMore Evidence Narrow-Spectrum Antibiotics Best for ARTIs A large prospective study showed that narrow antibiotics were as effective as broad ones for acute respiratory tract infections in kids; one expert said the data add very strong support for current guidelines.
  • Cotton-tip Swabs Send Dozens of Kids to the ED Every Day Almost three dozen children end up in U.S. hospital emergency departments every day thanks to injuries that result from using cotton-tipped swabs to clean their ears, according to a new study.
  • Cipro Combo Effective in Pediatric Middle Ear Infection In children with acute otitis media with tympanostomy tubes (AOMT), topical ciprofloxacin plus fluocinolone acetonide (Otovel, Salvat) is more effective than either agent alone, according to results from two randomized trials.
  • Antibiotics for AOM: 10 Days More Effective Than 5 A 10-day course of amoxicillin-clavulanate worked better than a 5-day course for children younger than 2 years who had acute otitis media, according to a two-center randomized controlled trial.
  • Broad-Spectrum Antibiotics Prescribed Too Often Guidelines recommend narrow-spectrum antibiotics as first-line treatment for otitis media, sinusitis, and pharyngitis, but half of prescriptions were for broad-spectrum drugs instead.
  • Reducing Antibiotics for RTIs Does Not Increase Complications Prescribing antibiotics less often for self-limiting respiratory tract infections (RTIs) does not seem to increase the risk of serious complications, according to new findings.
  • Your Doctor Will See You in This Telemedicine Kiosk Employers and insurers are installing sophisticated kiosks in more workplaces so that workers can quickly consult a doctor offsite when they take ill at work.
  • Hyperbaric Oxygen Ineffective for Chronic Bowel Dysfunction? In this randomized, sham-controlled trial, hyperbaric oxygen failed to improve chronic GI symptoms, including rectal bleeding, after curative radiation therapy for pelvic cancers.