Rosenfeld J A, Clarity G
East Tennessee State University James H. Quillen College of Medicine, Bristol, Tennessee 37620, USA.
Prim Care. 1996 Dec;23(4):677-86. doi: 10.1016/s0095-4543(05)70356-0.
Acute otitis media (AOM) is the most common reason parents bring children into the primary care physician's office. It is diagnosed by clinical symptoms of otalgia and often fever and irritability and by clinical otoscopy. Organisms common to the nasopharynx usually cause AOM. Many episodes of AOM resolve spontaneously. Because it is uncertain how many and which children will resolve without therapy, it is reasonable to treat all children with AOM with antibiotics. The first choice of antibiotics is amoxicillin. Other choices rest on a variety of factors.
急性中耳炎（AOM）是家长带孩子前往基层医疗医生办公室就诊的最常见原因。它通过耳痛、通常伴有发热和易怒等临床症状以及临床耳镜检查来诊断。鼻咽部常见的病原体通常会引发急性中耳炎。许多急性中耳炎病例会自行痊愈。由于不确定有多少以及哪些孩子未经治疗就能痊愈，因此用抗生素治疗所有急性中耳炎患儿是合理的。抗生素的首选是阿莫西林。其他选择则取决于多种因素。
