Morris P S
Ear, Health and Education Unit, Menzies School of Health Research, Northern Territory.
Aust Fam Physician. 1998 Nov;27(11):1021-9.
Rural and remote Aboriginal and Torres Strait Islander children have extremely high rates of otitis media and hearing loss. Despite considerable evidence, clinical practice continues to vary. This may be partly related to the failure of recent guidelines to be explicit about which factors should influence decision making.
To provide rural and remote GPs caring for young Aboriginal and Torres Strait Islander children with an evidence based guide to the principles that determine the clinical management of otitis media and hearing loss.
While population health strategies are extremely important, the GP also needs to be able to advise families of affected children of the benefits and risks of the medical, surgical and audiological interventions available. The key to this process is the ability to distinguish between suppurative and non-suppurative disease, and a familiarity with the natural history and the likely hearing loss associated with different disease states in high risk populations.
农村及偏远地区的原住民和托雷斯海峡岛民儿童患中耳炎和听力损失的比例极高。尽管有大量证据，但临床实践仍存在差异。这可能部分与近期指南未明确指出哪些因素应影响决策有关。
为农村及偏远地区照顾原住民和托雷斯海峡岛民幼儿的全科医生提供一份基于证据的指南，以指导中耳炎和听力损失临床管理的决策原则。
虽然群体健康策略极为重要，但全科医生还需要能够就现有医疗、手术和听力干预措施的益处和风险向受影响儿童的家庭提供建议。这一过程的关键在于能够区分化脓性和非化脓性疾病，并熟悉高危人群中不同疾病状态的自然病程以及可能伴随的听力损失情况。
