5-Minute Emergency Consult
Otitis Media
Otitis Media is a topic covered in the 5-Minute Emergency Consult.
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Basics
Description
Description
- Second most common disease of childhood, after upper respiratory infection (URI)
- Inflammation of the middle ear
- Most commonly occurs in children 6–36 mo
- Rapid onset of local and/or systemic symptoms
- More than 1/3 of children experience >5 episodes by the age of 7 yr
Etiology
Etiology
- Associated with eustachian tube (ET) obstruction or dysfunction
- Usually associated with (or as a result of) upper respiratory tract infections
- Viral:
- Parainfluenza
- Respiratory syncytial virus
- Influenza
- Adenovirus
- Rhinovirus
- Bacterial:
- Streptococcus pneumoniae
- Moraxella catarrhalis
- Haemophilus influenzae
- Streptococcus pyogenes
- Mycoplasma pneumoniae
- Associated with blockage of ET
- Predisposing factors:
- Deficient mucus, cilia, or antibodies
- Intubation, esp nasotracheal
- American Indians, Eskimos
- Down syndrome
- Cleft palate
- Diabetes
- Vitamin A deficiency
- HIV
- Risk factors:
- Family history
- Daycare
- Parental smoking
- Pacifier use
- Bottle-feeding
-- To view the remaining sections of this topic, please log in or purchase a subscription --
Basics
Description
Description
- Second most common disease of childhood, after upper respiratory infection (URI)
- Inflammation of the middle ear
- Most commonly occurs in children 6–36 mo
- Rapid onset of local and/or systemic symptoms
- More than 1/3 of children experience >5 episodes by the age of 7 yr
Etiology
Etiology
- Associated with eustachian tube (ET) obstruction or dysfunction
- Usually associated with (or as a result of) upper respiratory tract infections
- Viral:
- Parainfluenza
- Respiratory syncytial virus
- Influenza
- Adenovirus
- Rhinovirus
- Bacterial:
- Streptococcus pneumoniae
- Moraxella catarrhalis
- Haemophilus influenzae
- Streptococcus pyogenes
- Mycoplasma pneumoniae
- Associated with blockage of ET
- Predisposing factors:
- Deficient mucus, cilia, or antibodies
- Intubation, esp nasotracheal
- American Indians, Eskimos
- Down syndrome
- Cleft palate
- Diabetes
- Vitamin A deficiency
- HIV
- Risk factors:
- Family history
- Daycare
- Parental smoking
- Pacifier use
- Bottle-feeding
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Citation
Schaider, Jeffrey J., et al., editors. "Otitis Media." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307485/all/Otitis_Media.
Otitis Media. In: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307485/all/Otitis_Media. Accessed February 4, 2023.
Otitis Media. (2016). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (5th ed.). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307485/all/Otitis_Media
Otitis Media [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2023 February 04]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307485/all/Otitis_Media.
* Article titles in AMA citation format should be in sentence-case
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ED - Barkin,Roger M,
ED - Hayden,Stephen R,
ED - Wolfe,Richard E,
BT - 5-Minute Emergency Consult
UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307485/all/Otitis_Media
PB - Lippincott Williams & Wilkins
ET - 5
DB - Emergency Central
DP - Unbound Medicine
ER -
