Have Guidelines Affected Ear, Nose, and Throat Specialists’ Diagnoses and the Prescription of Antibiotics for Acute Otitis Media?

Document Type : Original

Authors

1 Assistant professor of otolaryngology, ENT, Head & Neck Department and Research Center, Hazrat Rasoul Akram Hospital, Tehran University of medical sciences

2 Professor of otolaryngology, ENT, Head & Neck Department and Research Center, Hazrat Rasoul Akram Hospital, Tehran University of medical sciences

3 Assistant professor in community medicine, Department of community medicine, Faculty of medicine, Tehran University of Medical Sciences

4 Fellow of Allergy and Clinical Immunology, Hazrat Rasoul Akram Hospital, Tehran University of medical sciences

5 Student of medical sciences, faculty of medicine, Tehran University of medical sciences

Abstract

Introduction:
The Ministry of Health and Medical Education of Iran, and similar institutions in many other countries, advises physicians to use current guidelines for the diagnosis and treatment of acute otitis media (AOM). However, there has been no evaluation of the effectiveness of such guidelines or whether physicians in Iran adhere to them. Thus, as laryngologists are the most important group of people who interact with patients with AOM, the aim of this study was to evaluate the attitude of laryngologists to the established guidelines.
 Materials and Methods:
A total of 120 anonymous surveys were mailed to 120 otolaryngologists in Tehran, Iran, to evaluate the patterns of diagnosis and treatment of AOM used by these physicians. The survey included questions regarding the otolaryngologists’ age, gender, place of work, and attitude towards diagnosis and treatment of AOM.
 Results:
Sixty-two completed surveys were received, for a response rate of 51%. There was no significant difference between respondents to these surveys according to sex, age, practice setting, graduation year, or the number of patients with AOM seen each month.
 Conclusion:
Our study adds new insights to the previous literature on the use of guidelines in the management of AOM. We can now assess the impact of guidelines on the usual practice of physicians in evidenced-based management of AOM.

Keywords

References

  1. Jeppesen J, Faber CE. Surgical complications following cochlear implantation in adults based on a proposed reporting consensus. Acta Otolaryngol. 2013 Oct;133(10):1012-21. doi: 10.3109/ 00016489. 2013. 797604. PMID: 23768013; PMCID: PMC3793264.
  2. Loundon N, Blanchard M, Roger G, Denoyelle F, Garabedian EN. Medical and Surgical Complications in Pediatric Cochlear Implantation. Arch Otolaryngol Head Neck Surg.2010; 136(1):12–15. doi:10.1001/archoto. 2009.187
  3. Mehanna AM, Gamaleldin OA, Fathalla MF. The misplaced cochlear implant electrode array. Int J Pediatr Otorhinolaryngol. 2019 Feb;117:96-104. doi: 10.1016/j.ijporl.2018.11.027. Epub 2018 Nov 23. PMID: 30579097.
  4. Tange RA, Grolman W, Maat A. Intracochlear misdirected implantation of a cochlear implant. Acta Otolaryngol. 2006;126:650–2. doi: 10.1080/00016480500445206.
  5. Gözen ED, Tevetoğlu F, Yener HM, Kara E, Ataş A, Şirolu S, Kızılkılıç O, Cansız H, Karaman E. Extra-Cochlear Insertion in Cochlear Implantation: A Potentially Disastrous Condition. J Int Adv Otol. 2019 Dec;15(3):358-363. doi: 10.5152/iao.2019.6492. PMID: 31347506; PMCID: PMC6937184.
  6. Vashishth A, Fulcheri A, Prasad SC, Bassi M, Rossi G, Caruso A, Sanna M. Cochlear Implantation in Cochlear Ossification: Retrospective Review of Etiologies, Surgical Considerations, and Auditory Outcomes. Otol Neurotol. 2018 Jan;39(1):17-28. doi: 10.1097/MAO.0000000000001613. PMID: 29065093.
  7. Weinreich HM, Francis HW, Niparko JK, Chien WW. Techniques in cochlear implantation. Oper Tech Otolaryngol-Head Neck Surg.2014;25:312–20. doi: 10.1016/j.otot.2014.09.002
  8. Mangus B, Rivas A, Tsai BS, Haynes DS, Roland JT Jr. Surgical techniques in cochlear implants. Otolaryngol Clin North Am. 2012 Feb;45(1):69-80. doi: 10.1016/j.otc.2011.08.017. PMID: 22115682.
  9. Kaya S, Paparella MM, Cureoglu S (2016) Pathologic Findings of the Cochlea in Labyrinthitis Ossifcans Associated with the Round Window Membrane. Otolaryngol Head Neck Surg 155(4):635–640
  10. Singla A, Sahni D, Gupta AK, Loukas M, Aggarwal A (2014) Surgical anatomy of round window and its implications for cochlear implantation. Clin Anat 27:331–336
  11. Wysocki J, Skarzynski H (1998) Distance between the cochlea andadjacent structures related to cochlear implant surgery. Surg Radiol Anat 20:267–271
  12. Yilmazer R, Karatay E, Akbulut S, Alkan Z, Sarikaya B. Anatomical landmarks for cochlear implantatıon in ossifıed cochleas. Eur Arch Otorhinolaryngol. 2020 Dec;277(12):3301-3306. doi: 10.1007/s00405-020-06044-1. Epub 2020 May 21. PMID: 32440899.
  13. Jain S, Gaurkar S, Deshmukh PT, Khatri M, Kalambe S, Lakhotia P, Chandravanshi D, Disawal A. Applied anatomy of round window and adjacent structures of tympanum related to cochlear implantation. Braz J Otorhinolaryngol. 2019 Jul-Aug; 85(4):435-446. doi: 10.1016/j.bjorl.2018.03. 009. Epub 2018 Apr 19. PMID: 29759935.
  14. Singla A, Sahni D, Gupta AK, Aggarwal A, Gupta T. Surgical anatomy of the basal turn of the human cochlea as pertaining to cochlear implantation. Otol Neurotol. 2015 Feb;36(2):323-8. doi: 10.1097/MAO.0000000000000371. PMID: 24770412.
  15. Kavitha Y, Sabarigirish K, Joish UK, Saxena S, Dutta A. A Study of Effect of Consanguinity on Cochlear Morphology in Patients with Congenital Bilateral Profound Sensorineural Hearing Loss. Indian J Otolaryngol Head Neck Surg. 2017 Dec; 69(4):483-487. doi: 10.1007/s12070-017-1230-2.
  16. Kumar JU, Kavitha Y. Application of Curved MPR Algorithm to High Resolution 3 Dimensional T2 Weighted CISS Images for Virtual Uncoiling of Membranous Cochlea as an Aid for Cochlear Morphometry. J Clin Diagn Res. 2017 Feb;11(2):TC12-TC14. doi: 10.7860/JCDR/ 2017 /23206.9456.
  17. Laurikainen E, Kanninen P, Aho H, Saukko P. The anatomy of the human promontory for laser Doppler flowmetry. European Archives of Oto-rhino-laryngology. 1997 ;254(6):264-268. DOI: 10.1007/bf02905984. PMID: 9248732.

 

 

Iranian Journal of Otorhinolaryngology
Volume 24, Issue 2 - Serial Number 2
March and April 2012
Pages 55-62

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