Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

’Watch and wait’ - a shift in approach to kids’ ear infections

06.06.2005


Educating parents and physicians could reduce overuse of antibiotics

The most frequent reason pediatricians prescribe antibiotics to young children is for an ear infection (acute otitis media). With increased concerns about high rates of antibiotic use and resistance, recent guidelines suggest consideration of "watchful waiting" for some ear infections to see if they resolve without antibiotics. Previous studies have shown that many ear infections do resolve on their own.

"Careful observation by pediatricians and parents, sometimes called ’watchful waiting,’ would be a dramatic shift in treatment for a very common illness in childhood," said Jonathan Finkelstein, associate professor of ambulatory care and prevention at Harvard Medical School and Harvard Pilgrim Health Care. Finkelstein and colleagues conducted a study, reported in the June issue of Pediatrics, which indicates a wide range of attitudes among parents and physicians about the watchful waiting method.



Finkelstein, also a staff physician at Children’s Hospital Boston, and colleagues surveyed more than 2,000 parents in 16 Massachusetts communities, asking parents, pediatricians, and family physicians to assess the current use of watchful waiting and to determine the acceptability of this option to parents. A majority of physicians (63 percent) reported at least occasionally using initial observation, but of those, a scant 6 percent use it frequently.

The findings also indicate that although many parents have concerns about using watchful waiting, only 40 percent would be dissatisfied if their doctor suggested this treatment and 34 percent would be satisfied. There was greater acceptance of the technique among parents with more education, with a greater knowledge about antibiotics, or who feel included in medical decisions. "Parents will be hearing more about the option of initially observing ear infections. This study shows there is a range of opinions about this practice," Finkelstein said, "and good communication between parents and doctors is essential to ensure it is used appropriately."

This observation method was included as a treatment option for selected patients in practice guidelines released by the American Academy of Pediatrics and American Academy of Family Physicians in 2004. The recommendations involve initial observation of non-severe cases in children 2 years old or older with mild ear pain, without high fever, and for whom the physician believes that prompt follow-up is assured should symptoms worsen.

Leah Gourley | EurekAlert!
Further information:
http://www.hms.harvard.edu

More articles from Health and Medicine:

nachricht Scientists learn more about how gene linked to autism affects brain
19.06.2018 | Cincinnati Children's Hospital Medical Center

nachricht Overdosing on Calcium
19.06.2018 | Albert-Ludwigs-Universität Freiburg im Breisgau

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Overdosing on Calcium

Nano crystals impact stem cell fate during bone formation

Scientists from the University of Freiburg and the University of Basel identified a master regulator for bone regeneration. Prasad Shastri, Professor of...

Im Focus: AchemAsia 2019 will take place in Shanghai

Moving into its fourth decade, AchemAsia is setting out for new horizons: The International Expo and Innovation Forum for Sustainable Chemical Production will take place from 21-23 May 2019 in Shanghai, China. With an updated event profile, the eleventh edition focusses on topics that are especially relevant for the Chinese process industry, putting a strong emphasis on sustainability and innovation.

Founded in 1989 as a spin-off of ACHEMA to cater to the needs of China’s then developing industry, AchemAsia has since grown into a platform where the latest...

Im Focus: First real-time test of Li-Fi utilization for the industrial Internet of Things

The BMBF-funded OWICELLS project was successfully completed with a final presentation at the BMW plant in Munich. The presentation demonstrated a Li-Fi communication with a mobile robot, while the robot carried out usual production processes (welding, moving and testing parts) in a 5x5m² production cell. The robust, optical wireless transmission is based on spatial diversity; in other words, data is sent and received simultaneously by several LEDs and several photodiodes. The system can transmit data at more than 100 Mbit/s and five milliseconds latency.

Modern production technologies in the automobile industry must become more flexible in order to fulfil individual customer requirements.

Im Focus: Sharp images with flexible fibers

An international team of scientists has discovered a new way to transfer image information through multimodal fibers with almost no distortion - even if the fiber is bent. The results of the study, to which scientist from the Leibniz-Institute of Photonic Technology Jena (Leibniz IPHT) contributed, were published on 6thJune in the highly-cited journal Physical Review Letters.

Endoscopes allow doctors to see into a patient’s body like through a keyhole. Typically, the images are transmitted via a bundle of several hundreds of optical...

Im Focus: Photoexcited graphene puzzle solved

A boost for graphene-based light detectors

Light detection and control lies at the heart of many modern device applications, such as smartphone cameras. Using graphene as a light-sensitive material for...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

Munich conference on asteroid detection, tracking and defense

13.06.2018 | Event News

2nd International Baltic Earth Conference in Denmark: “The Baltic Sea region in Transition”

08.06.2018 | Event News

ISEKI_Food 2018: Conference with Holistic View of Food Production

05.06.2018 | Event News

 
Latest News

Carbon nanotube optics provide optical-based quantum cryptography and quantum computing

19.06.2018 | Physics and Astronomy

How to track and trace a protein: Nanosensors monitor intracellular deliveries

19.06.2018 | Life Sciences

New material for splitting water

19.06.2018 | Physics and Astronomy

VideoLinks
Science & Research
Overview of more VideoLinks >>>