Affordable Access

Prophylaxis of recurrent acute otitis media and middle-ear effusion. Comparison of amoxicillin with sulfamethoxazole and trimethoprim.

Authors
  • Principi, N
  • Marchisio, P
  • Massironi, E
  • Grasso, R M
  • Filiberti, G
Type
Published Article
Journal
American journal of diseases of children (1960)
Publication Date
Dec 01, 1989
Volume
143
Issue
12
Pages
1414–1418
Identifiers
PMID: 2589274
Source
Medline
License
Unknown

Abstract

We compared the efficacy of amoxicillin with that of the combination drug sulfamethoxazole and trimethoprim in reducing recurrences of acute otitis media (AOM) in a single-blind, randomized, placebo-controlled trial involving 96 children. Each of the children had had three or more episodes of AOM in the preceding 6 months, and 97% (93/96) of them still had unilateral or bilateral effusion at the beginning of the study. During the 6-month study period, 9 (27%) of 33 of the children in the amoxicillin group developed 9 episodes of AOM, 9 (27%) of 33 of the children in the sulfamethoxazole and trimethoprim group experienced 11 episodes of AOM, and 19 (63%) of 30 of the children in the placebo group developed 25 episodes. Young age and day-care attendance characterized children for whom prophylaxis was more efficacious. Overall persistence of middle-ear effusion was shorter in treated children only as a consequence of the reduced number of new episodes of AOM.

Report this publication

Statistics

Seen <100 times