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Table 3 Ear assessments and nasopharyngeal carriage at the end of therapy

From: Compared to placebo, long-term antibiotics resolve otitis media with effusion (OME) and prevent acute otitis media with perforation (AOMwiP) in a high-risk population: A randomized controlled trial

 

Amoxicillin

Placebo

 
 

n = 52

n = 51

 

Mean duration of therapy (months)

5.7

5.2

 

Mean age (months) at the end of therapy

11.5

10.2

 

Number of children (%) with the following worst ear status at the end of therapy

   
 

Amoxicillin

Placebo

Risk Difference

 

n = 52

n = 51

[95% CI]

Success (bilateral normal ears at 2 successive monthly visits)

5 (9.6%)

0

+9.6% [1.6, 17.6]

Normal

6 (12%)

0

+12% [3, 20]

OME

28 (54%)

26 (51%)

+3% [-16, 22]

AOM without perforation

12 (23%)

11 (22%)

+1.5% [-15, 18]

AOM with perforation

5 (10%)

11 (22%)

-12% [-26, 2]

Dry perforation

0

1 (2%)

-2% [-6, 2]

CSOM

1 (2%)

2 (4%)

-2% [-9, 5]

Any suppurative OM†

18 (35%)

24 (47%)

-12% [-31, 6]

Any perforation‡

6 (12%)

14 (27%)

-16% [-31, -1]

Any active perforation§

6 (12%)

13 (26%)

-14% [-29, 1]

Bilateral AOM without perforation

4 (8%)

7 (13%)

+5% [-6, 17]

Bilateral any perforation‡

1 (2%)

7 (14%)

-12% [-22, -2]

Number of children (%) with nasopharyngeal carriage of the following OM pathogens ¥ at end of therapy

   
 

Amoxicillin

Placebo

Risk Difference

 

n = 50

n = 47

[95% CI]

Streptococcus pneumoniae

29 (58%)

33 (70%)

-12% [-31, 7]

non-capsular Haemophilus influenzae

36 (72%)

29 (62%)

+10% [-8, 29]

Moraxella catarrhalis

44 (88%)

43 (91%)

-3% [-16,9]

All Spn, NCHi and M.cat

23 (46%)

21 (45%)

1% [-19, 21]

Penicillin non-susceptible Spn‡

17 (34%)

19 (40%)

-6% [-26, 13]

Penicillin resistant Spn††

1 (2%)

2 (4%)

-2.3% [-9, 5]

NCHi beta-lactamase positive

6 (12%)

1 (2%)

+10% [-0.03, 20]

  1. ≸AOM, AOMwiP or CSOM; ‡ AOMwiP, dry perforation or CSOM; §AOMwiP or CSOM; ¥ Spn Streptococcus pneumoniae. NCHi non-capsular Haemophilus influenzae. Mcat Moraxella catarrhalis. ‡Penicillin intermediate or resistant Spn (MIC > = 0.1 μg/ml) ††Penicillin resistant Spn (MIC > 1.0 μg/ml)