Acute otitis media: From diagnosis to prevention. Summary of the Italian guideline

Int J Pediatr Otorhinolaryngol. 2010 Nov;74(11):1209-16. doi: 10.1016/j.ijporl.2010.08.016. Epub 2010 Sep 16.


Acute otitis media (AOM) is the most common disease occurring in infants and children and has major medical, social and economic effects. If we consider the Italian pediatric population and the incidence rates in different age ranges it can be calculated that almost one million cases of AOM are diagnosed in Italy every year. Various attempts have been made internationally to clarify the most appropriate ways in which AOM should be managed. In Italy, this has been done at local or regional level but there have so far been no national initiatives. The objective of this guideline is to provide recommendations to pediatricians, general practitioners and otolaryngologists involved in the clinical management of acute otitis media in healthy children aged 2 months to 12 years. After a systematic review and grading of evidences from the literature, the document was drafted by a multidisciplinary panel with identified key clinical questions related to diagnosis, treatment of the acute episode, management of complications and prevention.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Acute Disease
  • Anti-Bacterial Agents / therapeutic use
  • Cerumen
  • Cerumenolytic Agents / therapeutic use
  • Child
  • Earache / etiology
  • Humans
  • Influenza Vaccines
  • Otitis Media / diagnosis*
  • Otitis Media / prevention & control*
  • Otoscopy
  • Patient Selection
  • Pneumococcal Vaccines
  • Practice Guidelines as Topic*
  • Risk Factors
  • Therapeutic Irrigation


  • Anti-Bacterial Agents
  • Cerumenolytic Agents
  • Influenza Vaccines
  • Pneumococcal Vaccines