CHILDREN WITH AOM

Children with AOM

ABSTRACT

Evidence-Based Practice (EBP) has its origins in medicine, beginning its development in USA since the discipline of clinical epidemiology, where the group of Sackett, in the late 70's, trying to incorporate research clinical decision making for patients. Another Canadian group led by Guyatt in the 90's promoted the use of research-based mathematical statistics as evidence. At the same time the gap between books and periodical literature, the variability in clinical care in patients with the same disease, the gap between scientific and clinical practice and the gap between research and practice facilitated the birth of this new paradigm. The below paper discusses the antibiotic treatment of children suffering from otitis media and ethics in evidence based practice.

Table of Contents

Otitis Media Source Of Evidence1

Exudative otitis media2

Chronic purulent otitis2

Waiting Training5

Ethical Issues7

Children with Acute Otitis Media

A.1 Otitis Media Source Of Evidence

Otitis media is much more common in children than in adults, usually in children under three years, which have not been breastfed and have been in school, day care, at very early ages of life. It is one of the leading causes of visits to the doctor's office or the otolaryngologist, and is more common in winter months and early spring (Abad, 1985).

Acute otitis media is about 25-40% of all diseases of the ear. In infants it is less common (about 5%), although it is possible that this is due to the difficulties of diagnosis. The peak frequency of acute purulent otitis media accounted for under the age of 6 months. (50% of all diseases of the ear), from 6 to 12 months. - 40%, from year to 3 years - 30%, from 3 to 6 years - 20% in older children, its frequency is approximately the same as in adults (10-15%). In children under 1 year of acute otitis media in 80% of the proceeds as a two-way process, in 1-3 years - 60%, 4-7 years - 25% of cases. As a result, during the first year approximately 60% of children at least once sick otitis media, 20% of children have recurrent disease 3.2. By 3 years of life 90% of children suffer the disease at least once, 50% of children have several episodes of otitis mediaThe practice of health care based on evidence is imperative to ensure quality care is cost effective and once a hallmark of professional nursing (International Council of Nurses, ICN, 1999), especially in regions that resources are scarce (Lamelas, 2002; Llinares, 2002). Nurses should be able to identify and utilize the best evidence in their practice. When this is missing or weak evidence, nurses must be able to generate the knowledge needed to compensate for this problem (Aranedam, 2004).

A.2 Exudative otitis media

Also called serous otitis media or sector. It occurs as described above, resulting in blockage of the lumen of the auditory tube and reducing the pressure in the tympanum. This condition may occur as a result of viral infection (this is not no pain) or bacterial infection, with subsequent ...