小児急性中耳炎診療ガイドラインの検証‐その有効性と問題点について‐

DOI 被引用文献3件 参考文献16件

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  • Verification of Clinical Practice Guideline for Diagnosis and Management of Acute Otitis Media in Children in Japan
  • その有効性と問題点について

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In conformation of guidelines in treatment of acute otitis media in children in Japan, we reviewed 792 cases of children with acute otitis media treated in our hospital, we obtained the following results:<BR>1) According to this classification, 68 cases were mild, 584 cases were moderate, and 140 cases were severe.<BR>2) According to the treatment algorithm, the percentage of cases improving with primary treatment, second treatment and third treatment was 78.5%, 92.1%, 100% in mild cases, 62.4%, 94.7%, 100% in moderate cases, and 79.4%, 94.1%, 100% in severe cases, respectively.<BR>3) The cases requiring third treatment in mild cases showed a high score of bulging of the tympanic membrane, and in moderate cases, a high score of the tympanic membrane and no tympanotomy, and in severe cases, age under 2 years old and insufficient diminition of otorrhea even with tympanotomy.<BR>4) All mild cases were completely cured, whereas moderate cases showed complete cure in 89.0%, flareup in 7.7%, and recurrence in 9.3%, and severe cases showed complete cure in 85.0%, flare-up in 5.7%, and recurrence in 9.3%.<BR>However, in severe cases, 11 patients underwent a short-term ventilation tube insertion.<BR>5) According the guidelines in management of acute otitis media in children it was shown the improvement of more than 90% after second treatment and the cure in more than 85.0%.From these results, we considered that this guidelines are effective for treatment of otitis media in childhood.

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