Antibiotics question

[BRmama]

Hi, a friend told me this so I was wondering if anyone knew and could tell me or point me in the right direction as to where in the American Academy of Pediatricians site says something about antibiotics being prescribed and waiting ten days to see if the symptoms have gone away (like for ear infections) or something like that. I'm just doing some research on antibiotics about the pros and cons, and how they are misused with kids and adults. So I just wanted to know exactly where they stand on this issue. TIA

[Marnica]

http://aappolicy.aappublications.org...ics;113/5/1451

The "observation option" for AOM refers to deferring antibacterial treatment of selected children for 48 to 72 hours and limiting management to symptomatic relief.

Placebo-controlled trials of AOM over the past 30 years have shown consistently that most children do well, without adverse sequelae, even without antibacterial therapy. Between 7 and 20 children must be treated with antibacterial agents for 1 child to derive benefit

Thus current evidence does not suggest a clinically important increased risk of mastoiditis in children when AOM is managed only with initial symptomatic treatment without antibacterial agents

When antibacterial agents are prescribed for AOM, the time course of clinical response should be 48 to 72 hours

[BRmama]

Thanks Marnica