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首页> 外文期刊>Auris, nasus, larynx >Clinical practice guidelines for the diagnosis and management of acute otitis media (AOM) in children in Japan.
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Clinical practice guidelines for the diagnosis and management of acute otitis media (AOM) in children in Japan.

机译：日本儿童急性中耳炎（AOM）诊断和管理的临床实践指南。

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OBJECTIVE: To (1) indicate methods of diagnosis and testing for acute otitis media (AOM) in children (under 15 years of age); and (2) recommend methods of treatment in accordance with the evidence based consensus reached by the subcommittee on clinical practice guidelines for the diagnosis and management of AOM in children (subcommittee on clinical practice guidelines), in light of the causative bacteria of AOM in Japan and their susceptibility to antimicrobial agents. METHODS: We investigated the most recently detected bacteria causing childhood AOM in Japan as well as their antimicrobial susceptibility, developed clinical questions concerning the diagnosis, testing methods, and treatment of AOM, searched the literature published during 2000-2004, and issued the 2006 guidelines. In the 2009 guidelines we performed the same investigation with the addition of literature that was published during 2005-2008 and that was not included in the 2006 guidelines. RESULTS: We categorized AOM as mild, moderate, or severe on the basis of otoscopic findings and clinical symptoms, and presented a recommended treatment for each degree of severity. CONCLUSION: Accurate assessment of otoscopic findings, as well as other signs and symptoms, is important for judging the degree of severity and selecting a method of treatment.
机译：目的：（1）指出儿童（15岁以下）急性中耳炎（AOM）的诊断和测试方法; （2）根据日本AOM的病原菌，根据儿童AOM诊断和治疗的临床实践指南小组委员会（临床实践指南小组）达成的循证共识，推荐治疗方法以及它们对抗菌剂的敏感性。方法：我们调查了日本最近发现的引起儿童AOM的细菌及其抗菌药性，提出了有关AOM的诊断，测试方法和治疗的临床问题，检索了2000-2004年发表的文献，并发布了2006年指南。在2009年指南中，我们进行了相同的调查，并增加了2005-2008年期间发表的文献，但并未纳入2006年指南中。结果：我们根据耳镜检查结果和临床症状将AOM分为轻度，中度或重度，并针对每种严重程度提出了推荐的治疗方法。结论：正确评估耳镜检查结果以及其他体征和症状，对于判断严重程度和选择治疗方法非常重要。

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