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Through the years, pediatricians have changed their methods of treating acute otitis media and otitis media with effusion. The American Academy of Pediatrics, the American Academy of Family Physicians and the American Academy of OtolaryngologyHead and Neck Surgery devised guidelines for the treatment of acute otitis media and otitis media with effusion that acknowledge recent therapeutic advances and increasing bacterial resistance to antimicrobial therapy. Among the guidelines recommendations is that antibiotic use for middle ear infections be decreased to lessen the possibility of bacterial resistance. The recommendations do not include the management of otitis media with tympanostomy tubes. The goal of this discussion is to address the management of otitis media with tympanostomy tubes. With the support of an unrestricted grant from Alcon Laboratories, Inc., Infectious Diseases in Children assembled a panel of experts in Irving, Texas, on July 10, 2004, to discuss the new guidelines and how they have affected pediatricians treatment approaches. I would like to thank the faculty members for their preparation for and participation in this Infectious Diseases in Children symposium and monograph project. Philip A. Brunell, MD |
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[Introduction]
[Symposium]