Antibiotic use in children with acute otitis media
This activity is designed to highlight the magnitude of the problem of antibiotic overuse in children in Australia, outline the adverse effects of overuse of antibiotics for individuals and the community, and provide evidence-based management strategies for the management of AOM in children.Relevance to General Practice
Australia has one of the highest rates of antibiotic exposure in the world, and antibiotic prescription rates have increased by 230% over the last decade. Australian children are exposed to considerably more antibiotics than the majority of their counterparts in other high-income countries, including for the treatment of AOM. However, for many children with AOM, antibiotics are not indicated.
The high rate of antibiotic exposure is of concern given increasing antimicrobial resistance and the putative association with chronic diseases, including asthma and childhood obesity. Understanding the extent and risk factors associated with antibiotic exposure may inform strategies to reduce inappropriate prescribing, especially in populations with the highest prescription rates. Improving antibiotic use in children, particularly minimising their use for URTIs, should be a priority for action as intervening in children has the potential to make a sustained improvement in practice over time.
D1. Communication skills and the patient-doctor relationship
Communication with family, carers and others involved in the care of the patient is appropriate and clear
D2. Applied professional knowledge and skills
The conduct of the consultation is appropriate to the needs of the patient and the sociocultural context
D3. Population health and the context of general practice
The patterns and prevalence of disease are incorporated into screening and management practices
D4. Professional and ethical role
Duty of care is maintained
D5. Organisational and legal dimensionsCurriculum Contextual Units
- Children and young people health
- Ear and nose medicine