Can Fam Physician. 2017 Sep;63(9):685-687.
Acute otitis media is one of the most common infections in childhood. Routine prescription of antibiotics has led to adverse events and bacterial resistance to antibiotics. I have heard that "watchful waiting" is a good strategy to reduce this potential problem in children older than 6 months of age. Should I apply this strategy in my clinical practice? Watchful waiting can be applied in selected children with nonsevere acute otitis media by withholding antibiotics and observing the child for clinical improvement. Antibiotics should be promptly provided if the child's infection worsens or fails to improve within 24 to 48 hours. Guidelines and most ongoing studies support these recommendations. Correct choice of regimen, dose, frequency, and length of treatment are all important.
急性中耳炎是儿童最常见的感染之一。常规开具抗生素处方导致了不良事件和抗生素耐药性。我听说“静观等待”是减少 6 个月以上儿童潜在问题的好策略。我是否应该在我的临床实践中应用这种策略？
在选择非重度急性中耳炎的儿童中，可以通过不使用抗生素并观察儿童的临床改善情况来应用静观等待。如果儿童的感染在 24 至 48 小时内恶化或没有改善，应立即提供抗生素。指南和大多数正在进行的研究都支持这些建议。正确选择治疗方案、剂量、频率和疗程都很重要。
