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Most cases of otitis media should not be treated with antibiotics, says NICE

BMJ 2017; 358 doi: https://doi.org/10.1136/bmj.j4398 (Published 21 September 2017) Cite this as: BMJ 2017;358:j4398
  1. Zosia Kmietowicz
  1. The BMJ

Most cases of otitis media in children can be managed with paracetamol or ibuprofen rather than antibiotics, new guidance from the National Institute for Health and Care Excellence (NICE) has said.1

The draft guidance says that most children with symptoms are in less pain within 24 hours and that antibiotics do not help.

The evidence shows that antibiotics make little difference to how long symptoms last or the proportion …

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