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. Author manuscript; available in PMC: 2012 Feb 1.
Published in final edited form as: Pediatr Infect Dis J. 2011 Feb;30(2):95–99. doi: 10.1097/INF.0b013e3181f253d5

Table 2.

Outcome of 28 AOM cases that were managed with watchful waiting

AOM a n Outcome at
follow up
exam
n Median
day
between
exams
Remarks
Mild (OS 2–3) 15 Improved 10 3 b Evidence of MEF by follow up tympanogram 2–29 days later
Same 1 2 New URI episode with AOM 14 days later
Progressed 2 5 Worsening of the contralateral ear, one later received antibiotic treatment
No exam 2 Clinically improved per home visit & parent's report

Moderate (OS 4–5) 13 Improved 7 4 c Evidence of MEF by follow-up tympanogram in 5 cases, 12–24 days later
Progressed 2 6 d Received antibiotic 5 and 7 days later
No exam 4 Two clinically improved per parents, one received tympanostomy tubes 7 days later, one lost to follow-up
a.

AOM severity: OS score 0–1=no AOM, 2–3=mild AOM, 4–5=moderate AOM, ≥6=severe AOM.

b.

Range 1–7 days

c.

Range 2–12 days

d.

Range 5–7 days