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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Acute otitis media guidelines, antibiotic use, and shared medical decision-making.
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Acute otitis media guidelines, antibiotic use, and shared medical decision-making.

机译：急性中耳炎指南，抗生素使用和共同医疗决策。

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摘要

Acute otitis media (AOM) continues to be the most common reason practitioners prescribe antibiotics for children.1 Concern over emerging resistance of the common pathogens that cause AOM has led to efforts for more judicious use of antibiotics by being more careful in making the diagnosis, selecting narrow-spectrum antibiotics, and using analgesics instead of antibiotics unless the infection fails to clear on its own.2-3 In 2004, the American Academy of Family Physicians and the American Academy of Pediatrics jointly issued guidelines with criteria for making the diagnosis, endorsing an observation option for those without severe disease, and advocating more aggressive pain management.
机译：急性中耳炎（AOM）仍然是从业者为儿童开抗生素的最常见原因。1由于对引起AOM的常见病原体产生新的耐药性的担忧，通过更加谨慎地进行诊断，人们做出了更加明智地使用抗生素的努力，除非感染不能自行清除，否则应选择窄谱抗生素，并使用镇痛药代替抗生素。2-32004年，美国家庭医师学会和美国儿科学会联合发布了指导方针，以做出诊断;认可无严重疾病者的观察选择，并主张更积极的疼痛管理。

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