TY - JOUR T1 - Oral antibiotics confer small benefits and small harms in low-risk children with acute otitis media JF - Evidence Based Medicine JO - Evid Based Med SP - 9 LP - 9 DO - 10.1136/eb-2013-101341 VL - 19 IS - 1 AU - Hasantha Gunasekera Y1 - 2014/02/01 UR - http://ebm.bmj.com/content/19/1/9.abstract N2 - Commentary on: Venekamp RP, Sanders S, Glasziou PP, et al. Antibiotics for acute otitis media in children. Cochrane Database Syst Rev 2013;1:CD000219.OpenUrlPubMed Acute otitis media (AOM) affects most children by the time they reach school age and is a common reason for presentation to healthcare professionals globally. Pathogenic bacteria are isolated from middle ear fluid in AOM and so antibiotics are frequently considered necessary. However, unlike other bacterial infections, the vast majority of children with AOM recover within a week without antibiotics. Antibiotics also have known harms and antibiotic resistance is increasing worldwide. Therefore, ‘watchful waiting’ or ‘expectant observation’ is either recommended or considered reasonable in guidelines for the management of uncomplicated AOM in children aged over 2 years in Australia,1 Canada,2 France,2 Germany,2 Scotland,2 Spain,2 the Netherlands,2 UK2 and the … ER -