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In this presentation from Children's Hospital of PIttsburgh of UPMC's Pediatric Grand Rounds, Alejandro Hoberman, MD, discusses the diagnosis and management of acute otitis media, as well as the prinicples of AAP guidelines and outcomes eveidence from recent clinical trials.

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Discriminate between ears with acute otitis media, otitis media with effusion, and effusion-free ears.
  • Critically apply diagnostic and treatment principles addressed in the American Academy of Pediatrics guidelines for the management of children with acute otitis media.
  • Incorporate new epidemiologic and treatment outcome evidence from recent acute otitis media clinical trials to treat young children with acute otitis media.
  • Use pharmacokinetic/pharmacodynamic principles in selecting antimicrobials for children with AOM.

Reading Resources:

  1. Dagan R and Leibovitz E. Lancet ID 2002;10:593-604
  2. Shaikh et al. Acad Pediatr 2012;12:214-8; Shaikh et at. Pediatr Infect Dis J 2009;28: 9–12
  3. Shaikh et al. Video in Clinical Medicine. Diagnosing otitis media-otoscopy and cerumen removal NEJM 2010; 362:e62
  4. Kaleida et al. Enhancing Proficiency in Otitis Media. Available at
  5. AAP Section on Infectious Diseases. A view through the otoscope: distinguishing AOM from OME. Available at
  6. Hoberman et al. N Engl J Med 2011;364:105-15


Dr. Hoberman has financial interests with the following any entity or entities producing health care goods or services as indicated below:

  • Other: Development of a reduce clavulanate concentration of amoxicillin-clavulanate potassium, Development of method for aiding in the diagnosis of otitis media by classifying tympanic membrane images

All presenters disclosure of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients is listed above.  No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.075) continuing education units (CEU) which are equivalent to .75 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 5/10/2014 | Last Modified On: 5/10/2014 | Expires: 5/9/2015

This course has been expired.