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This guidance covers suspected otitis media with effusion (OME) in children.
Refer these patients to secondary care:
OME present for more than 6 weeks and developmentally under 4 years
OME present for more than 6 weeks and developmentally 4 years or older
1 Scottish Intercollegiate Guidelines Network (SIGN). Diagnosis and management of childhood otitis media in primary care. A national clinical guideline. SIGN publication no. 66. Edinburgh: SIGN; 2003.
5 Cincinnati Children's Hospital Medical Center. Evidence based clinical practice guideline for medical management of acute otitis media in children 2 months to 13 years of age. Cincinnati, OH: CincinnatiChildren's Hospital Medical Center; 2005.
7 National Institute for Health and Clinical Excellence (NICE). Respiratory tract infections – antibiotic prescribing. Prescribing antibiotics for self-limiting respiratory tract infections in adults and children in primary care. Clinical guideline 69. London: NICE; 2008.
8 National Institute for Health and Clinical Excellence (NICE). Feverish illness in children. Assessment and initial management in children younger than 5 years. Clinical guideline 47. London: NICE; 2007.
12 Spurling G. Delayed antibiotics for respiratory infections. Cochrane Acute Respiratory Infections Group; 2010.
14 Voloumanou EK, Karageorgopoulos DE, Kazantzi MS et al. Antibiotics versus placebo or watchful waiting for acute otitis media: a meta-analysis of randomized controlled trials: CRD summary. 2010.
17 Gulani A, Sachdev HP, Qazi SA. Efficacy of short course (4 days) of antibiotics for treatment of acute otitis media in children: a systematic review of randomized controlled trials. Indian Pediatr 2010; 47: 74-87.
This guideline has been signed off by the Western Locality on behalf of NEW Devon CCG.
Publication date: March 2016