Do Clinicians Document the American Academy of Pediatrics Recommended Clinical Information Used to Diagnose and Manage Otitis Media with Effusion


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Retrospective chart review of 363 children aged 2 months to 12 years diagnosed with OME was performed. An electronic survey was used to measure physician awareness and knowledge of specific recommendations in the 2004 AAP clinical practice guidelines on OME. We found a high level of documentation practices at the initial diagnosis of OME (laterality 95%) but poor documentation of follow-up factors (duration 14.9%). Documentation was not found to improve after release of the 2004 AAP guidelines. The survey found physician knowledge lacking in terms of the decibel hearing level stratification of management and antibiotic use, although better for the use of pneumatic otoscopy as a primary diagnostic method and adenoidectomy and myringotomy as accepted treatments.

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2006-01-01
Collapse end date
2010-12-30