Eficacia de la amoxicilina como tratamiento de primera elección para otitis media aguda en población pediátrica.

Abstract

Introduction: Acute otitis media (AOM) is one of the most frequent diseases in childhood, it is mainly based on infection that originally begins as rhinopharyngitis which can alter the function of the auditory pathways. Objective: Evaluate the differences between the time of evolution and frequency of recurrence in pediatric patients with otitis media treated with amoxicillin. Materials and methods: Observational, retrospective, cross-sectional, analytical. The population had 150 patients with diagnoses of AOM between the period of 2011 and 2021 at the Kennedy clinic. Results: From 150 patients studied, 89 (59.3%) were treated with amoxicillin and 61 (40.7%) were not. Meanwhile, in the case of relapses, cefuroxime predominated with a total of 20 (62.5%) minors over amoxicillin and azithromycin, both with 6 (18.8%) patients. Lastly, the median time to recovery from amoxicillin was approximately 12 days. Conclusion: Amoxicillin continues to be the drug of first choice, thanks to the fact that it easily penetrates the middle ear and used at high doses (80-90 mg/kg/day every 12 hours). In the 89 patients studied, only 6 (18.8%) presented exacerbations. , demonstrating its efficacy in the pediatric population.