Reader Remarks on:

A Wait-and-See Approach to Management of Otitis Media in Children: Readers Weigh In

otitis media
Otitis Media-Wait and See Approach
Otitis Media

otitis media

John L. Brown, 22 Aug 2009 2:36 AM EST

Competing interests: None declared

If one prevents even one case of meningitis, it is worth using the antibiotics in all the rest of them. I would like to see epidemiological studies that quantitate these probabliities.

Otitis Media-Wait and See Approach

N.R. Gehrman, 24 Aug 2009 9:51 AM EST

Competing interests: None declared

I applaud trying to decrease our dependence on antibiotic therapy. It should not be the first choice. Before practitioners jump on the wait and see wagon there need to be clear protocols for all care providers (MD/PAC/NP) when this is appropriate. Prior to the use of antibiotics there were significant intra-cranial complications associated with otitis media that are not acceptable in today's medicine. Since some of these conditions change rapidly, especially in pediatric patients, education is an area of significant concern.

Otitis Media

Ronald S. Bashian (MD), 11 Sep 2009 7:57 PM EST

Competing interests: None declared

I have practiced general pediatrics for 30 years.

The tone of this article was VERY misleading. It puts a "roundsmanship" implicit pressure on young - and relatively inexperienced - physicians - to withold antibiotics , even from children below the age of 2.

Yes, we have given too many antibiotics in the past. But we cannot gloat or spur this process on by self-congratulatory messages with overzealous encouragement.

That is not the scientific method.

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