Wait and See Antibiotic Prescription for Acute Otitis Media: A Randomized Controlled Trial
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About
To determine if a wait and see prescription for ear infections in childhood reduces use of antibiotics compared to an immediate prescription
Full description
We conducted a randomized, controlled trial evaluating a consecutive series of children diagnosed with AOM during a one year period in an urban pediatric emergency department, utilizing diagnostic recommendations from contemporary evidence-based guidelines. The objectives of the study were to determine whether treatment of AOM using a "Wait and See Prescription" (WASP) significantly reduces use of antimicrobials compared with a "Standard Prescription" (SP) and to evaluate the effects of this intervention on clinical symptoms and adverse outcomes related to antibiotic use.
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Volunteers
Inclusion criteria
- Children between the ages of 6 months - 12 years who were diagnosed with Acute Otitis Media
Exclusion criteria
- clinician suspicion or diagnosis of a concurrent bacterial infection
- patient appeared "toxic" as determined by the PEM clinician
- patient was hospitalized
- history of compromised immunity
- patient was treated with antimicrobials in the preceding seven days
- either tympanic membrane was perforated
- myringotomy tubes were present
- uncertain access to medical care
- primary language of the parent or guardian was neither English nor Spanish
- prior enrollment in the study
Trial design
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Interventional model
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Data sourced from clinicaltrials.gov
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