TY - JOUR T1 - About half of children under age 3 whose parents suspected acute otitis media have the diagnosis; restless sleep, ear rubbing and fever are not predictive JF - Evidence Based Nursing JO - Evid Based Nurs SP - 10 LP - 10 DO - 10.1136/ebn1114 VL - 14 IS - 1 AU - Diane Montgomery Y1 - 2011/01/01 UR - http://ebn.bmj.com/content/14/1/10.abstract N2 - Commentary on: Laine MK, Tähtinen PA, Ruuskanen O, et al. Symptoms or symptom-based scores cannot predict acute otitis media at otitis-prone age. Pediatrics 2010;125:e1154–61.OpenUrlAbstract/FREE Full Text Acute otitis media (AOM) is one of the most common infectious diseases in young children affecting approximately 80% of children by the age of 2 years and accounts for more than 40% of paediatric office visits.1 Another very common illness in children which often accompanies otitis media is an upper respiratory tract infection (URI) occurring six to eight times a year making it difficult to distinguish the coexistence of an AOM. Signs and symptoms of a URI cause significant distress to parents leading parents to suspect a diagnosis of an AOM in their children often insisting on antibiotics. Current guidelines from the American Academy of … ER -