American Speech-Language-Hearing Association

EBP Compendium: Summary of Clinical Practice Guideline

Scottish Intercollegiate Guidelines Network
Diagnosis and Management of Childhood Otitis Media in Primary Care. A National Clinical Guideline

Scottish Intercollegiate Guidelines Network (2003).
Edinburgh (Scotland): Scottish Intercollegiate Guidelines Network (SIGN), SIGN Publication No. 66, 18 pages.

AGREE Rating: Highly Recommended

Description:

This evidence-based guideline provides recommendations for the assessment and management of otitis media. The primary audiences include: general practitioners, nurses, audiologists, pediatricians, otolaryngologists, other professionals, and service users. Recommendations are graded A, B, C, D, or "Good Practice Point" based on the strength of supporting evidence. Grade A recommendations are based on evidence from systematic reviews and meta-analyses of randomized controlled trials that are directly relevant to the population. Grade B recommendations include high quality case control or cohort studies or high quality systematic reviews of those studies that are directly applicable to the population, or recommendations extrapolated from Grade A evidence. Grade C recommendations include well conducted case control or cohort studies or recommendations extrapolated from Grade B evidence. Grade D recommendations are based on evidence from non-analytic studies or expert opinion or recommendations extrapolated from Grade C evidence. Good Practice Points are recommendations based on the clinical experience of the guideline development group.

Recommendations:

  • Screening/Assessment
    • "Children who require hearing loss assessment should be referred to an audiologist" (Good Practice Point) (p. 4).
  • Management
    • Speech, Language & Hearing
      • Watchful Waiting - "Children under three years with persistent bilateral otitis media with effusion and hearing loss ≤25dB, but no speech and language, development or behavioural problems, can be safely managed with watchful waiting. If watchful waiting is considered, the child should undergo audiometry to exclude a more serious degree of hearing loss" (Level A) (p. 11).

Keywords: Otitis Media

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Added to Compendium: November 2010

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