Title: Otitis Media (2013 AAP AOM Guidelines UPDATES)
题目：2013年美国儿科学会急性中耳炎治疗指南更新
Author 作者: Mimi Lu

AAP released a new clinical practice guideline for diagnosis and management of acute otitis media (AOM).
美国儿科学会最近公布了急性中耳炎（AOM）诊断和治疗的临床实践指南。
Key Action Statements 推荐方法概要：:
 
Diagnosis: presence of middle ear effusion and
中耳炎的诊断：中耳有渗出在加上
(1) moderate to severe bulging of tympanic membrane (TM) or new otorrhea or
中度到重度耳膜（TM）隆突或新出现的外耳道渗出，或
(2) mild bulging of TM and recent ear pain or intense erythema of TM
轻度TM隆突和新的耳痛或TM红肿

Treatment options 治疗原则:
Severe unilateral or bilateral AOM (>6mo): give antibiotics.  Severe AOM is defined as fever >102.2 (39 C), moderate/severe otalgia, or symptoms >48h.
严重的单侧或双侧AOM（> 6个月）：给抗菌素。严重AOM的定义为温度>102.2°F（39°C），中度或严重耳痛，或症状超过48小时。
Nonsevere unilateral AOM (6-23 months): Advise the parents to consider a period of close observation and follow up (24-72h).  If the child’s clinical status deteriorates, give antibiotics.
不严重的单侧AOM （6－23个月）：建议家长密切观察病人并在24－72小时内随诊。如病人临床状态恶化，应用抗菌素。
Nonsevere bilateral AOM (6-23 months): give antibiotics.
不严重的双侧AOM儿童（6－23个月）：应用抗菌素。
Nonsevere unilateral or bilateral AOM (>24 months): Advise the parents to consider a period of close observation and follow up (24-72h).  If the child’s clinical status deteriorates, give antibiotics.
不严重的单侧或双侧AOM（>24个月）：建议家长密切观察病人并在24－72小时内随诊。如病人临床状态恶化，应用抗菌素。
Reference 参考文献:
Pediatrics Vol. 131 No. 3 March 1, 2013

http://pediatrics.aappublications.org/content/early/2013/02/20/peds.2012-3488.full.pdf