Reducing Otitis Media Recurrence Through Nurse, Pharmacist, Public Health Education and Follow Up
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Keywords
otitis media, recurrent otitis media, patient education, nursing, pharmacy, public health, prevention, follow-up
Abstract
Otitis media (OM) is a common childhood infection characterized by inflammation of the middle ear. Recurrent otitis media (ROM) poses significant challenges, often leading to complications, antibiotic resistance, and the need for surgical interventions. This review explores the potential for reducing OM recurrence through coordinated efforts of nurses, pharmacists, and public health professionals in patient education and follow-up. Key strategies include educating families on risk factors, promoting breastfeeding and pneumococcal vaccination, ensuring proper antibiotic administration and adherence, and identifying and managing allergies and upper respiratory infections. School-based screening programs can aid in early detection and referral. Pharmacists play a vital role in promoting judicious antibiotic use and providing guidance on symptomatic management. Public health initiatives focusing on reducing exposure to environmental tobacco smoke, improving hygiene practices, and addressing socioeconomic disparities are crucial. Implementing standardized follow-up protocols and leveraging electronic health records and patient registries can help track outcomes and target interventions. Multidisciplinary collaboration, parental engagement, and culturally sensitive approaches are essential for effective prevention and management of ROM.
References
Bekkers, M. J., Simpson, S. A., Dunstan, F., et al. (2010). Enhancing the quality of antibiotic prescribing in primary care: qualitative evaluation of a blended learning intervention. BMC Family Practice, 11, 34.
Cabral, C., Horwood, J., Hay, A. D., & Lucas, P. J. (2014). How communication affects prescription decisions in consultations for acute illness in children: a systematic review and meta-ethnography. BMC Family Practice, 15, 63.
Child Care Health and Education Consultancy Services. (1995). Spotting the sick child: Otitis media (middle ear infection) in young children. PLA Notes, 22, 9-12.
Duffy, L. C. (2002). Interventions to reduce antibiotic prescribing for upper respiratory infections in a small rural community. Clinical Pediatrics, 41(10), 667-671.
Friedman, N. R., McCormick, D. P., Pittman, C., Chonmaitree, T., Teichgraeber, D. C., Uchida, T., Baldwin, C. D., & Saeed, K. A. (2006). Development of a practical tool for assessing the severity of acute otitis media. Pediatric Infectious Disease Journal, 25(2), 101-107.
Hoberman, A., Paradise, J. L., Rockette, H. E., et al. (2011). Treatment of acute otitis media in children under 2 years of age. The New England Journal of Medicine, 364(2), 105-115.
Hotomi, M., Yamanaka, N., Shimada, J., Ikeda, Y., & Faden, H. (2004). Factors associated with clinical outcomes in acute otitis media. Annals of Otology, Rhinology and Laryngology, 113(10), 846-852.
Hu, D.-Q., Ye, X.-F., Zhang, J.-Y., Wang, L., & Huang, G.-H. (2016). Impact of pharmacist-involved collaborative care on the clinical outcomes of outpatients with chronic obstructive pulmonary disease: A randomized controlled trial. Respiratory Care, 61(11), 1462–1470.
Ito, M., Shirai, A., Tatsumi, A., Yoshizaki, T., Nishimura, T., & Furukawa, M. (2002). The efficacy of nasopharyngeal topical treatment. Practica Otologica, 95(2), 145–151.
Ito, M., Shirai, A., Yoshizaki, T., Nishimura, T., & Furukawa, M. (1999). Incidence of penicillin resistant Streptococcus pneumoniae in a nursery school. Practica Otologica, 92(9), 1071-1079.
Legare, F., Labrecque, M., Cauchon, M., Castel, J., Turcotte, S., & Grimshaw, J. (2011). Training family physicians in shared decision-making to reduce the overuse of antibiotics in acute respiratory infections: A cluster randomized trial. Canadian Medical Association Journal, 184(13), E726–E734.
Little, P., Stuart, B., Francis, N., et al. (2013). Effects of internet-based training on antibiotic prescribing rates for acute respiratory-tract infections: a multinational, cluster, randomised, factorial, controlled trial. The Lancet, 382(9899), 1175-1182.
McConnochie, K. M. (2012). Development of an algorithm for the diagnosis of otitis media. Academic Pediatrics, 12(3), 159–160.
Murphy, M., Bradley, C., & Byrne, S. (2012). Antibiotic prescribing in primary care, adherence to guidelines and unnecessary prescribing - an Irish perspective. BMC Family Practice, 13(1).
Pshetizky, Y., Naimer, S., & Shvartzman, P. (2003). Acute otitis media—A brief explanation to parents and antibiotic use. Family Practice, 20(4), 417–419.
Rovers, M. M., Glasziou, P., Appelman, C. L., et al. (2006). Antibiotics for acute otitis media: A meta-analysis with individual patient data. The Lancet, 368(9545), 1429-1435.
Rovers, M. M., Schilder, A. G. M., Zielhuis, G. A., & Rosenfeld, R. M. (2004). Otitis media. The Lancet, 363(9407), 465–473.
Sauver, J. L. S., Dozier, A. M., Marrs, J. A., & Foldes, S. S. (2015). Nursing telephone triage and patients’ follow-up adherence on recommendations in ambulatory care. Medical Care, 53(5), 442–450.
Sibbald, A. D. (2012). Acute otitis media in infants: The disease and the illness. Clinical distinctions for the new treatment paradigm. Otolaryngology–Head and Neck Surgery, 147(4), 606–610.
Suzuki, C., & Yamanaka, N. (2014). Is bilateral acute otitis media clinically more refractory than unilateral acute otitis media? Practica Otologica, 107(8), 447–451.
Yamanaka, N., & Faden, H. (1993). Antibody response to outer membrane protein of nontypeable Haemophilus influenzae in otitis-prone children. The Journal of pediatrics, 122(2), 212-218.
Yamanaka, N., Uchizono, A., Uno, Y., et al. (2014). Concomitant rhinosinusitis is a risk factor for refractory acute otitis media in children. Practica Otologica, 107(8), 381-386.
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