Wait-and-see approach lowers antibiotic use for ear infections

A new study suggests that taking a wait-and-see approach before giving antibiotics to children with acute ear infections results in significantly lower use of antibiotics, with little difference in outcomes for the children.

The study's results, published this week in the Journal of the American Medical Association, are particularly timely. Resistance to antibiotics is a major public health concern worldwide, and acute otitis media (AOM, or ear infection) is the most common reason for prescribing antibiotics to children, at a rate of approximately 15 million prescriptions per year in the United States.

The study, co-authored by Vanderbilt's Donald H. Arnold, M.D., M.P.H., tracked emergency department visits of nearly 300 children, ages 6 months to 12 years. Participants were divided into wait-and-see prescription (WASP) group, where parents had the option of delaying use of antibiotics, and standard prescription (SP) group.

Researchers found that the WASP group significantly reduced the use of antibiotics: 62 percent of parents in that group did not fill the antibiotic prescription, compared with 13 percent in the SP group, resulting in an overall 56 percent reduction in antibiotic use. Although the WASP group had 2.4 days of earache versus two days in the SP group, there were no statistically significant differences between the groups in the frequency of subsequent fever or unscheduled visits for medical care.

Courtesy Healthy News Service