2009 – Otitis media with effusion, new advice for GPs – watchful waiting.

Glue ear, can be caused by an allergy to house dust mites. Dr Ian Williamson, Senior Lecturer Southampton School of Medicine said that 5-10% of cases are thought to have an allergic basis and advises GPs to use a strategy of ‘watchful waiting’ for at least one month when managing children with glue ear, as many cases will be spontaneously resolved. During this time, if allergy has been diagnosed within the family, allergy testing for dust mites is advisable.

‘Topical intranasal corticosteroids in 4-11 year old children with persistent bilateral otitis media with effusion in primary care: double blind randomised placebo controlled trial’, Williamson I. G. et al., BMJ 2009; 339:b4984

www.pulsetoday.co.uk/story.asp?storycode=4124643 by Lilian Anekwe

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