What is the self-directed learning issue that was identified in your oral presentation?
When is watchful waiting of acute otits media without antibiotic use appropriate?
Research the self-directed learning issue and provide a summary of your findings which is fully
supported by appropriate, scholarly, EBM references.
Acute otitis media is a common infection in children. The infection usually arises after a
viral infection such as an upper respiratory infection, or can be caused from irritants such as
smoke or allergies (MacGeorge, Smith, Caldes & Hackman, 2017). Symptoms of acute otitis
media can include fever, middle ear pain, hearing loss, redness, and bulging tympanic
membrane (MacGeorge, et. al., 2017). The first line treatment for patients with severe
symptoms is amoxicillin. Overuse of antibiotics can lead to resistance and in turn be harmful
for the patient. Watchful waiting is recommended for patients who have mild ear infections.
Watchful waiting can be implemented when the patient has a mild ear infection. Patients
who have severe pain, fever, or under the age of 2 years old should receive antibiotics (Sun,
McCarthy & Liberman, 2017). Patients who are over the age of 2 years old with mild
symptoms of otitis media have been proven to resolve on their own without antibiotics
(MacGeorge, et. al., 2017). When the patient is determined watchful waiting as the treatment,
the parents are given an antibiotic prescription to use only if the symptoms do not improve
within 48-72 hours or the symptoms worsen (MacGeorge, et. al., 2017). During this time the
patient should be provided supportive care such as rest, analgesics, and fluid promotion.
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