{"id":"https://openalex.org/W3206852508","doi":"https://doi.org/10.1136/archdischild-2021-europaediatrics.68","title":"68 Acute otitis media in children, diagnosis and management","display_name":"68 Acute otitis media in children, diagnosis and management","publication_year":2021,"publication_date":"2021-10-01","ids":{"openalex":"https://openalex.org/W3206852508","doi":"https://doi.org/10.1136/archdischild-2021-europaediatrics.68","mag":"3206852508"},"language":"en","primary_location":{"id":"doi:10.1136/archdischild-2021-europaediatrics.68","doi":"https://doi.org/10.1136/archdischild-2021-europaediatrics.68","is_oa":true,"landing_page_url":"https://doi.org/10.1136/archdischild-2021-europaediatrics.68","pdf_url":"https://adc.bmj.com/content/archdischild/106/Suppl_2/A29.2.full.pdf","source":{"id":"https://openalex.org/S4306500044","display_name":"Abstracts","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Abstracts","raw_type":"proceedings-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://adc.bmj.com/content/archdischild/106/Suppl_2/A29.2.full.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5110806929","display_name":"Ana Gisela Oliveira","orcid":"https://orcid.org/0000-0002-1350-1838","observed_orcids":["https://orcid.org/0000-0002-1350-1838"]},"institutions":[{"id":"https://openalex.org/I4210087844","display_name":"Centro Hospitalar Tondela-Viseu","ror":"https://ror.org/0025r1k74","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4210087844"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Ana Gisela Oliveira","raw_affiliation_strings":["Centro Hospitalar Tondela Viseu EPE"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro Hospitalar Tondela Viseu EPE","institution_ids":["https://openalex.org/I4210087844"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022178537","display_name":"Jo\u00e3o Sousa Marques","orcid":"https://orcid.org/0000-0002-4929-2695","observed_orcids":["https://orcid.org/0000-0002-4929-2695"]},"institutions":[{"id":"https://openalex.org/I4210087844","display_name":"Centro Hospitalar Tondela-Viseu","ror":"https://ror.org/0025r1k74","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4210087844"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Jo\u00e3o Sousa Marques","raw_affiliation_strings":["Centro Hospitalar Tondela Viseu EPE"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro Hospitalar Tondela Viseu EPE","institution_ids":["https://openalex.org/I4210087844"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077675893","display_name":"In\u00eas Silva Costa","orcid":"https://orcid.org/0000-0002-2940-838X","observed_orcids":["https://orcid.org/0000-0002-2940-838X"]},"institutions":[{"id":"https://openalex.org/I4210087844","display_name":"Centro Hospitalar Tondela-Viseu","ror":"https://ror.org/0025r1k74","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4210087844"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"In\u00eas Silva Costa","raw_affiliation_strings":["Centro Hospitalar Tondela Viseu EPE"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro Hospitalar Tondela Viseu EPE","institution_ids":["https://openalex.org/I4210087844"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021640879","display_name":"Sofia Reis","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210087844","display_name":"Centro Hospitalar Tondela-Viseu","ror":"https://ror.org/0025r1k74","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4210087844"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Sofia Reis","raw_affiliation_strings":["Centro Hospitalar Tondela Viseu EPE"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro Hospitalar Tondela Viseu EPE","institution_ids":["https://openalex.org/I4210087844"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076574502","display_name":"Joaquina Antunes","orcid":"https://orcid.org/0000-0002-7855-5933","observed_orcids":["https://orcid.org/0000-0002-7855-5933"]},"institutions":[{"id":"https://openalex.org/I4210087844","display_name":"Centro Hospitalar Tondela-Viseu","ror":"https://ror.org/0025r1k74","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4210087844"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Joaquina Antunes","raw_affiliation_strings":["Centro Hospitalar Tondela Viseu EPE"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro Hospitalar Tondela Viseu EPE","institution_ids":["https://openalex.org/I4210087844"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5051168716","display_name":"Cristina Baptista","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210087844","display_name":"Centro Hospitalar Tondela-Viseu","ror":"https://ror.org/0025r1k74","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4210087844"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Cristina Baptista","raw_affiliation_strings":["Centro Hospitalar Tondela Viseu EPE"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro Hospitalar Tondela Viseu EPE","institution_ids":["https://openalex.org/I4210087844"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210087844"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"A29.2","last_page":"A29"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10861","display_name":"Ear Surgery and Otitis Media","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10861","display_name":"Ear Surgery and Otitis Media","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12297","display_name":"Otolaryngology and Infectious Diseases","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acute-otitis-media","display_name":"acute otitis media","score":0.9990000128746033},{"id":"https://openalex.org/keywords/children","display_name":"children","score":0.7170000076293945},{"id":"https://openalex.org/keywords/antibiotic-stewardship","display_name":"antibiotic stewardship","score":0.6769999861717224},{"id":"https://openalex.org/keywords/antibiotic-resistance","display_name":"antibiotic resistance","score":0.7070000171661377},{"id":"https://openalex.org/keywords/emergency-department-visits","display_name":"emergency department visits","score":0.6470000147819519},{"id":"https://openalex.org/keywords/diagnosis","display_name":"diagnosis","score":0.3659999966621399},{"id":"https://openalex.org/keywords/mastoiditis","display_name":"mastoiditis","score":0.8759999871253967},{"id":"https://openalex.org/keywords/antibiotic-duration","display_name":"antibiotic duration","score":0.4860000014305115},{"id":"https://openalex.org/keywords/otorrhea","display_name":"otorrhea","score":0.8450000286102295},{"id":"https://openalex.org/keywords/conjunctivitis","display_name":"conjunctivitis","score":0.9160000085830688},{"id":"https://openalex.org/keywords/pediatric-bacterial-infections","display_name":"pediatric bacterial infections","score":0.45500001311302185},{"id":"https://openalex.org/keywords/antimicrobial-resistance-surveillance","display_name":"antimicrobial resistance surveillance","score":0.453000009059906},{"id":"https://openalex.org/keywords/antibiotic-prophylaxis","display_name":"antibiotic prophylaxis","score":0.35899999737739563}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9728487730026245},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.6254463791847229},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.5903553366661072},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.5583477020263672},{"id":"https://openalex.org/C2776439223","wikidata":"https://www.wikidata.org/wiki/Q480700","display_name":"Otitis","level":2,"score":0.5342022180557251},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.4652840197086334},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.46066394448280334},{"id":"https://openalex.org/C2908979688","wikidata":"https://www.wikidata.org/wiki/Q223254","display_name":"Acute otitis media","level":3,"score":0.4526788890361786},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4500001072883606},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.4493471086025238},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.43929606676101685},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.28049129247665405},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C98274493","wikidata":"https://www.wikidata.org/wiki/Q128406","display_name":"Pharmacology","level":1,"score":0.0},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0},{"id":"https://openalex.org/C89423630","wikidata":"https://www.wikidata.org/wiki/Q7193","display_name":"Microbiology","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1136/archdischild-2021-europaediatrics.68","doi":"https://doi.org/10.1136/archdischild-2021-europaediatrics.68","is_oa":true,"landing_page_url":"https://doi.org/10.1136/archdischild-2021-europaediatrics.68","pdf_url":"https://adc.bmj.com/content/archdischild/106/Suppl_2/A29.2.full.pdf","source":{"id":"https://openalex.org/S4306500044","display_name":"Abstracts","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Abstracts","raw_type":"proceedings-article"}],"best_oa_location":{"id":"doi:10.1136/archdischild-2021-europaediatrics.68","doi":"https://doi.org/10.1136/archdischild-2021-europaediatrics.68","is_oa":true,"landing_page_url":"https://doi.org/10.1136/archdischild-2021-europaediatrics.68","pdf_url":"https://adc.bmj.com/content/archdischild/106/Suppl_2/A29.2.full.pdf","source":{"id":"https://openalex.org/S4306500044","display_name":"Abstracts","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Abstracts","raw_type":"proceedings-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3206852508.pdf","grobid_xml":"https://content.openalex.org/works/W3206852508.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2030784672","https://openalex.org/W4280571625","https://openalex.org/W2186667960","https://openalex.org/W4409875423","https://openalex.org/W2803760736","https://openalex.org/W2020868004","https://openalex.org/W3025036994","https://openalex.org/W2407395649","https://openalex.org/W2030028297","https://openalex.org/W3130918020"],"abstract_inverted_index":{"Acute":[0],"otitis":[1,221],"media":[2],"(AOM)":[3],"is":[4,363,379],"considered":[5,113,132],"to":[6,24,43,47,61,310],"be":[7,39],"one":[8],"of":[9,13,22,34,54,73,96,117,161,213,216,226,229,237,247,259,286,326,340,392],"the":[10,25,44,62,71,171,190,208,290,308,352,390],"main":[11],"causes":[12],"bacterial":[14],"infection":[15],"in":[16,36,142,170,189,211,224,239,289,299,338,345,351,375],"children,":[17],"being":[18,382],"a":[19,55,364],"major":[20],"cause":[21],"admission":[23],"emergency":[26],"department":[27],"(ED)":[28],"and":[29,67,100,129,141,181,199,249,266,298,333],"antibiotic":[30,109,281,287,312,321],"prescription.":[31,282],"The":[32,150,283],"prescription":[33,110],"antibiotics":[35],"AOM":[37,74,362],"should":[38],"carefully":[40],"thought,":[41],"due":[42],"increased":[45],"resistance":[46],"antimicrobials.":[48],"A":[49],"retrospective,":[50],"descriptive,":[51],"comparative":[52],"analysis":[53,126],"randomized":[56],"pediatric":[57],"population":[58,353],"(n=1646)":[59],"admitted":[60],"ED":[63],"between":[64,275],"november":[65],"2014":[66],"december":[68],"2019":[69],"with":[70,86,158,192,234,277,300,319,354,367],"diagnosis":[72],"was":[75,103,112,120,127,131,145,155,168,207,222,273,294,303,313,336,348],"performed.":[76],"Exclusion":[77],"criteria":[78],"included":[79],"age":[80,167,268],"<28":[81],"days,":[82],"chronic":[83],"diseases":[84],"associated":[85,355],"nasopharyngeal":[87],"colonization":[88],"by":[89,343],"unusual":[90],"microorganisms,":[91],"craniofacial":[92],"malformations":[93],"or":[94],"presence":[95],"cochlear":[97],"implants.":[98],"Clinical":[99],"therapeutic":[101,119,331],"information":[102],"collected":[104],"through":[105,256],"clinical":[106],"records.":[107],"Deferred":[108],"(DAP)":[111],"if":[114],"48":[115],"hours":[116],"anti-inflammatory":[118],"advised":[121],"before":[122],"initiating":[123],"antibiotics.":[124],"Statistical":[125],"performed":[128],"p<0,05":[130],"statistically":[133],"significative.":[134],"Amongst":[135],"all":[136],"patients,":[137],"54,3%":[138],"were":[139,317],"males":[140],"85,7%":[143],"it":[144],"their":[146],"first":[147],"medical":[148],"observation.":[149],"median":[151,159],"age,":[152],"at":[153],"admission,":[154],"3":[156],"years":[157,204,293,302],"time":[160],"illness":[162,260],"evolution":[163],"2":[164,245],"days.":[165],"Mean":[166],"higher":[169],"group":[172,191,291],"that":[173,361],"reported":[174],"fever":[175],"(3,00":[176],"vs":[177,184,195,202,263,270,279],"5,29":[178],"years,":[179,186,233],"p<0.01)":[180,265,272],"conjunctivitis":[182,356],"(1,62":[183],"4,01":[185],"P<0.01),":[187],"unlike":[188],"othalgia":[193],"(5,31":[194],"1,94":[196],"years;":[197],"P<0.01)":[198],"otorrhea":[200],"(4,54":[201],"3,72":[203],"P<0.01).":[205],"DAP":[206,236,278,368,378],"chosen":[209],"conduct":[210],"6,8%":[212],"cases,":[214,227,341],"none":[215,253],"them":[217],"<6":[218],"months.":[219],"Bilateral":[220],"present":[223],"12,3%":[225],"58,6%":[228],"which":[230,347],"happened":[231],"<2":[232,292],"recorded":[235],"0.08%":[238],"this":[240],"last":[241],"group.":[242],"We":[243],"registered":[244],"cases":[246,325],"mastoiditis":[248],"1":[250],"fungal":[251],"infection;":[252],"had":[254],"gone":[255],"DAP.":[257],"Number":[258],"days":[261,297],"(2,38":[262],"3,12;":[264],"patients":[267],"(5,05":[269],"3,83;":[271],"different":[274],"those":[276],"initial":[280],"mean":[284],"duration":[285],"treatment":[288],"7,31":[295],"(\u00b11,02)":[296],"\u22652":[301],"6,83":[304],"(\u00b11,4)":[305],"(p<0,01).":[306],"Of":[307],"1531":[309],"whom":[311],"prescript,":[314],"270":[315],"(17,6%)":[316],"medicated":[318],"other":[320],"than":[322],"amoxicillin":[323,327],"(excluding":[324],"allergy,":[328],"recent":[329],"amoxicillin,":[330],"failure":[332],"conjunctivitis).":[334],"Amoxicillin":[335],"prescribed":[337,350],"66,8%":[339],"followed":[342],"amoxicillin/clavunate":[344],"20,8%,":[346],"more":[349],"(30,3%).":[357],"Our":[358],"study":[359],"showed":[360],"benign":[365],"infection,":[366],"not":[369],"reveling":[370],"worst":[371],"prognosis,":[372],"as":[373,387,389],"described":[374],"literature.":[376],"However,":[377],"still":[380],"underperformed,":[381],"necessary":[383],"its":[384],"practical":[385],"application,":[386],"well":[388],"use":[391],"first-line":[393],"antibiotics,":[394],"supported":[395],"on":[396],"current":[397],"recommendations.":[398]},"counts_by_year":[{"year":2025,"cited_by_count":1}],"updated_date":"2026-09-22T06:50:58.402377","created_date":"2021-10-25T00:00:00"}
