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Evid Based Med 8:84 doi:10.1136/ebm.8.3.84
  • Therapeutics

Immediate antibiotics were beneficial in children with acute otitis media who had fever and vomiting

Immediate v delayed antibiotics in children with acute otitis media by day 3§

Outcomes in children with fever (temperature >37.5°C) or vomiting at diagnosis Immediate antibiotics Delayed antibiotics RRR (95% CI) NNT (CI)
Distress 32% 53% 40% (16 to 57) 5 (3 to 14)
Night disturbance 26% 59% 56% (37 to 70) 3 (2 to 5)
Outcomes in children without fever or vomiting
§Abbreviations defined in glossary; RRR, NNT, and CI calculated from data in article.
Distress 15% 19% 21% (−45 to 57) Not significant
Night disturbance 20% 27% 26% (−22 to 55) Not significant

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