儿童急性中耳炎的治疗ppt课件.pptVIP

Treatment of Acute Otitis Media in Children under 2 Years of Age;SOURCE INFORMATION;;Introduction of The New England Journal of Medicine (NEJM);BACKGROUND;A watchful-waiting strategy has long been applied in several countries to minimize the use of antimicrobial drugs. -Netherlands and Scotland4,5 -USA,2004,6,7 -Canada 8 ;AOM in children aged 6 to 23 months is “nonsevere” 6(mild otalgia and T≤ 39℃ during the preceding 24 hours) Diagnosis of AOM is uncertain.7;The watchful waiting strategy has been based on the results of clinical trials3 that showed relatively high rates