J Korean Med Sci.  2012 Aug;27(8):835-848. 10.3346/jkms.2012.27.8.835.

Korean Clinical Practice Guidelines: Otitis Media in Children

• Lee HJ
• Park SK
• Choi KY
• Park SE
• Chun YM
• Kim KS
• Park SN
• Cho YS
• Kim YJ
• Kim HJ

• KMID: 1714193
• DOI: http://doi.org/10.3346/jkms.2012.27.8.835

Abstract

Acute otitis media (AOM) and otitis media with effusion (OME) are common infections in children, and their diagnosis and treatment have significant impacts on the health of children and the costs of providing national medical care. In 2009, the Korean Otologic Society organized a committee composed of experts in the field of otolaryngology, pediatrics, and family medicine to develop Korean clinical practice guidelines (CPG) for otitis media in children with the goal of meeting regional medical and social needs in Korea. For this purpose, the committee adapted existing guidelines. A comprehensive literature review was carried out primarily from 2004 to 2009 using medical search engines including data from Korea. A draft was written after a national questionnaire survey and several public audits, and it was editorially supervised by senior advisors before publication of the final report. These evidence-based guidelines for the management of otitis media in children provide recommendations to primary practitioners for the diagnosis and treatment of children younger than 15 yr old with uncomplicated AOM and OME. The guidelines include recommendations regarding diagnosis, treatment options, prevention and parent education, medical records, referral, and complementary/alternative medicine for treating pediatric otitis media.

Keyword

Otitis Media; Acute Disease; Otitis Media with Effusion; Child; Diagnosis; Treatment; Guideline

MeSH Terms

Age Factors
Anti-Bacterial Agents/therapeutic use
Asian Continental Ancestry Group
Caregivers/education
Child
Drug Therapy, Combination
Fever
Hearing Tests
Humans
Otitis Media/*diagnosis/drug therapy
Otitis Media with Effusion/diagnosis/surgery
Pneumococcal Infections/prevention & control
Republic of Korea
Risk Factors
Vaccines, Conjugate/immunology
Anti-Bacterial Agents
Vaccines, Conjugate

Figure

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  Fig. 1 Algorithm for management of pediatric acute otitis media in Korea.

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  Fig. 2 Algorithm for management of pediatric otitis media with effusion (OME) in Korea. dB, decibel; HL, hearing level.

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