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 |
AOM severity: OS score 0–1=no AOM, 2–3=mild AOM, 4–5=moderate AOM, ≥6=severe AOM.
Range 1–7 days
Range 2–12 days
Range 5–7 days