Treating acute otitis media in young children: what constitutes success?

Treating acute otitis media in young children: what constitutes success?
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治疗幼儿急性中耳炎:成功的要素是什么?

DOI:
10.1097/inf.0b013e31828e1417
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发表时间:
2013
期刊:
The Pediatric infectious disease journal
影响因子:
--
通讯作者:
Shaikh,Nader
Shaikh,Nader
中科院分区:
--
文献类型:
--
作者:
Paradise,JackL;Hoberman,Alejandro;Rockette,HowardE;Shaikh,Nader

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另一方面,其他9名评论者则表示不赞成。他们的批评主要集中在他们认为,在症状反应方面,我们发现阿莫西林-克拉维酸组与安慰剂组相比差异不大,他们质疑这种优势是否超过了抗生素治疗的副作用--在这种情况下,主要是腹泻和尿布皮炎--以及这种治疗带来的促进细菌耐药性的风险。这些批评要么忽视了我们在耳镜感染迹象持续性方面发现的更大的组间差异,要么贬低了这种差异,认为这种差异具有可疑的临床重要性。
Other commenters, 9 on the other hand, were unapproving. Their criticisms centered mainly on what they considered the unimpressive magnitude of the differences we had found favoring the amoxicillin-clavulanate group over the placebo group in symptomatic response, and they questioned whether that advantage outweighed the side effects of antibiotic treatment—in this case, mainly diarrhea and diaper dermatitis—and the risk that the treatment imposed of promoting bacterial resistance. The criticisms either ignored the larger between-group difference we had found in the persistence of otoscopic signs of infection or disparaged that difference as of dubious clinical importance.
DOI: 10.1136/bmj.320.7231.350
发表时间: 2000-02-05
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急性中耳炎是可以治疗的疾病吗?
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