Bilateral Acute Otitis Media Evidence Based Practice Analysis

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Assignment: Analysis of Current Evidence Based Practice Guidelines for the Treatment of OM

This Assignment requires a current, evidence based practice guideline that is specific to the child in the following scenario. Once you find the appropriate guideline, you will be ready for analysis and evaluation.

First, carefully review the case. Then, using the Internet, find a current (no older than 4 years old) relevant evidence based practice guideline for the treatment of otitis media for this particular pediatric patient.

Please use APA formatting, including title page and reference page. This Assignment should be between 3-5 pages, excluding title page and reference page. There should be a minimum of three current (within the last 5 years) peer-reviewed references including the authors of the guideline.

Make sure to address the following in your paper:

  • Briefly explain your search strategy. For example, how did you find the correct guideline?
  • Who developed the guideline?
  • Is this a revision of a previous guideline or an original? What is the date of publication?
  • Explain the concept of “systematic review of current best evidence.”
  • How was conflict of interest managed in the development of these guidelines?
  • How is quality of evidence defined?
  • Explain differences among strong recommendation, recommendation, and option
  • What are “key Action statements?”
  • For this particular child, what are the specific treatment recommendations including any diagnostics, medications (include exact dosage, frequency, length of treatment), follow-up, referral, prevention, and pain control.

Case:

A 5-year-old male is brought to the primary care clinic by his mother with a chief complaint of bilateral ear pain for the last three days. The mother states that the child has been crying frequently due to the pain. Ibuprofen has provided minimal relief. This morning, the child refused breakfast and appeared to be “getting worse.”

Vital signs at the clinic reveal HR 110 bpm, 28 respiratory rate, and tympanic temperature of 103.2 degrees F. The mother reports no known allergies. The child has not been on antibiotics for the last year. The child does not have history of OM. The child is otherwise healthy without any other known health problems.

After your questioning and examination, you diagnose this child with bilateral Acute Otitis Media.

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Explanation & Answer

Attached.

1

Running Head: TREATMENT OF OM

Analysis of Current Evidence Based Practice Guidelines for the Treatment of OM
Student’s Name
Professor’s Name
Course Title
Date

TREATMENT OF OM

2

Analysis of Current Evidence Based Practice Guidelines for the Treatment of OM
According to Venekamp et al. (2015), Otitis Media is an infection common in children for
which antibacterial agents are prescribed to them. It causes a range of symptoms such as otalgia,
itching, hearing loss and otorrhoea.
Correct Guideline/Who Developed/Any Revision/Date of Publication
The evidence-based practice guideline was done by the American Academy of Pediatrics
and American Academy of Family Physicians and it provides recommendations for children
suffering from otitis media. They partnered with experts in epidemiology, infectious diseases and
otolaryngology to evaluate the published evidence on the management and history of OM and
made recommendations.
The main source of the data used in making the guidelines was obtained from the
Agency for Healthcare Research and Quality. The data included the definition of OM, antibacterial agent’s effectiveness, natural history as well as relative effectiveness of certain
antibacterial regimens. These guideline was a revision of previous publications such as Medline
which was done in March 1999, International pharmaceutical abstracts of 1970, CINAHL of
1982 and the Cochrane Library of 1999.
In the analysis o...


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