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韩国临床实践指南:儿童中耳炎。

Korean clinical practice guidelines: otitis media in children.

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University College of Medicine, Chuncheon, Korea.

出版信息

J Korean Med Sci. 2012 Aug;27(8):835-48. doi: 10.3346/jkms.2012.27.8.835. Epub 2012 Jul 25.

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.

摘要

急性中耳炎(AOM)和分泌性中耳炎(OME)是儿童常见的感染,其诊断和治疗对儿童的健康和国家医疗保健成本有重大影响。2009 年,韩国耳科学会组织了一个由耳鼻喉科、儿科学和家庭医学领域的专家组成的委员会,制定了韩国儿童中耳炎临床实践指南(CPG),旨在满足韩国地区的医疗和社会需求。为此,委员会对现有的指南进行了改编。主要使用包括韩国在内的数据在内的医学搜索引擎,从 2004 年到 2009 年进行了全面的文献回顾。在全国问卷调查和几次公开审计后,撰写了草案,在发表最终报告之前,由高级顾问进行了编辑监督。这些针对儿童中耳炎管理的循证指南为初级医生提供了诊断和治疗 15 岁以下儿童单纯性 AOM 和 OME 的建议。指南包括关于诊断、治疗选择、预防和家长教育、病历、转诊以及治疗儿童中耳炎的补充/替代医学的建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8477/3410229/ed8d24e11ed1/jkms-27-835-g001.jpg

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