Hassmann-Poznańska Elzbieta
Klinika Otolaryngologii Dzieciecej, Uniwersytetu Medycznego w Białymstoku.
Przegl Lek. 2011;68(1):17-20.
Acute otitis media (AOM) is one of the most frequent diseases in young children and also the most common indication for antibiotic prescribing. It impose substantial burden on pediatricians and general practitioners and leads to negative sequelae and complications in developing countries. Because of growing resistance to antibiotics of respiratory tract pathogens, and the great tendency of AOM to spontaneous resolution there is need for reduction of antibiotic treatment in this disease. The pros and cons of this therapy are presented in this paper. Indications for surgical interventions--adenoidectomy and tympanostomy tubes insertion in cases of recurrent acute otitis media are also presented.
急性中耳炎（AOM）是幼儿中最常见的疾病之一，也是抗生素处方最常见的指征。它给儿科医生和全科医生带来了沉重负担，并在发展中国家导致负面后遗症和并发症。由于呼吸道病原体对抗生素的耐药性不断增加，以及AOM有很大的自发缓解倾向，因此需要减少该疾病的抗生素治疗。本文介绍了这种治疗方法的利弊。还介绍了手术干预的指征——复发性急性中耳炎病例中的腺样体切除术和鼓膜置管术。
