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Otitis Media


In general terms, Otitis Media affects the middle ear where it brings about inflammation which may be as a result of an infection in the middle ear. As studies have shown in the past, the use of antibiotics is less preferred when it comes to the treatment of Otitis Media. What works better according to clinical guidelines in such scenarios is a watchful eye.


A review of the evidence sources listed

When it comes to the ‘American academy of Pediatrics and American Academy of Family Physicians,’ it is important to note that the same can be classified as a filtered resource. This is because the evidence source concerns itself with study quality appraisal and it goes ahead to come up with practice recommendations. When it comes to classifying the same as a type of filtered resource, the evidence source most probably falls under meta-analysis or what is better known as systematic reviews.


This is essentially because there is a comprehensive literature review which goes ahead to filter some studies whose reliability may be compromised. When it comes to the classification, this source of evidence can be classified as evidence based guideline.The second source of evidence in this case ‘Causative pathogens, antibiotic resistance and therapeutic considerations in acute Otitis Media’ can also be classified as a filtered resource. The reasoning here is that the evidence source in this case also goes ahead to come up with practice recommendations. The classification of this evidence source could be primary research evidence.
The third source of evidence; ‘ear nose and throat’ can be classified as a general informational resource. This is based on a number of reasons,. To begin with, there are no explicit recommendations for practice made in this case and though the review of literature is extensive; there is no attempt to bring together all the previous study into a unified results analysis (statistical). Here the categorization of this evidence source could put it under evidence based guideline.
When it comes to ‘Treatment of acute Otitis Media in an era of increasing microbial resistance,’ the evidence source in this case is most likely unfiltered resource. This is essentially because the source does not contain any clinical question that is largely specific. Further, unlike in a filtered resource, the quality of studies is left largely unapprised. The results sourced from interviewing parents whose children have been brought to the clinic for treatment of otitis media is also an unfiltered source. For both cases here, evidence summary would be the most appropriate category.

Relevance of evidence sources to the nursing practice

The ‘American academy of Pediatrics and American Academy of Family Physicians,’ source is significant to the nursing practice as it seeks to present effective strategies towards the management as well as control of Otitis Media. It is also important to note that the diagnostic information presented therein is largely relevant and timely as far as the nursing practice is concerned.The ‘Causative pathogens, antibiotic resistance and therapeutic considerations in acute Otitis Media’ evidence source is mainly relevant to nursing practice when it comes to its analysis of antibiotic resistance.


This is a important issue for nursing practice at a time when watchful waiting is being embraced in place of the utilization of antibiotics in Otitis Media’s treatment. This is also the case for ‘Treatment of acute Otitis Media in an era of increasing microbial resistance.’When it comes to ‘ear nose and throat’ evidence source, the information contained therein is mainly a result of the synthesitation of quite a number of research studies.
Hence from the look of it, it is not largely appropriate for nursing practice. Another evidence source that is not largely relevant to the nursing practice include the results sourced from interviewing parents whose children have been brought to the clinic for treatment of otitis media. This is essentially because it lacks literature review as well as topic appraisal.

Treating children with acute otitis media: watchful waiting

Based on the evidence presented in the article, watchful waiting is more preferred when it comes to treating children with acute otitis media. This is also a postulation that has been supported by a number of studs carried over time. According to the article, watchful eye should not be used in only one instance, that is, when in the opinion of a pediatrician, there are high chances of the infection. The article further notes that by adopting watchful eye, progress could be made towards averting the development of bacteria that is largely treatment resistant.


It is important to note that for quite sometime, antibiotics have been the treatment of choice for children suspected of having AOM or those exhibiting symptoms of the same. Further, it is also noteworthy to put it down that according to Ruohola (2001), this strategy has its own problems though the antibiotics are quite effective as far as eliminating he bacteria is concerned causing AOM is concerned. The issues presented by the strategy included the ability of the bacteria that were not eliminated by the antibiotic to have enhanced resistance as far as treatment is concerned.

Utilizing the findings to enhance nursing practice in the clinic

It is important o note that the findings in the article are rather timely especially when it comes to the postulation that bacteria not eliminated by the antibiotics ended up developing resistance to further treatment aimed at treating AOM. These findings hence tell us that when it comes to the treatment as well as management of AOM, the most appropriate utilization of antibiotics as well as the bacteria that is highly resistant to vaccine still remains a challenge.


One could hence note that the findings fall short of calling for more research in this particular area; a move that would go a along way towards uplifting the nursing practice in the clinic.Further, the article the articles findings also postulate that to ensure that strains of bacteria that is treatment resistant do not emerge, there is a need to stick to the recommended guidelines when it comes to the administration of antibiotics s well as embracing the watchful eye approach in cases that are seen to be less critical (Vinci 2007).

Conclusion

In conclusion, studies show that there has been a significant decrease in the number of infections associated with streptococcus pneumoniae. This significant decrease has been informed by the vaccine known as polysaccharide conjugate whish was instrumental in averting instances of infections associated with AOM. However, in the current day and age, there are persistent calls to effect antibiotic treatment in highly effective manner when it comes to the management of acute Otitis Media.


References

Ruohola, A. (2001). Acute otitis media: prevention and treatment. Turun yliopisto

Vinci, R.J. (2007). Pediatrics. Cambridge University Press


 
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