بررسي تاثير دوز منفرد آزيترومايسين در درمان عفونت حاد گوش مياني در كودكان

Single-Dose Azithromycin for Treatment of Acute Otitis Media in Children

Background: Acute otiti s media (AOM) is the most common affliction necessitating antibiotic as the initial therapy in children. Many studies are trying to find the most effective drug with least side effects and most compliance. In this study, the efficacy of single-dose Azithromycin was considered. Methods: 87 patients with AOM (based on history, otoscopic examination, and audiogram) visiting Al-Zahra and Kashani hospital s underwent 3mglkg of azithromycin as an oral single-dose. Patients were visited 48 hr later for evaluating the failure of treatment and then, 12-16 days later for evaluating the complete or relative response to antibiotic. In 2nd visit, the audiogram was taken again, Data was analyzed with i test and P < 0.05 considered statistically significant. Findings: 54 (62.1%) patients were male s and 33 (37.9%) were females. 72 patients were treated successfully with single-dose of azithromycin and the remainder were treated with co-Amoxiclave, 90 mglkg, for 10 i days . One patient needed myringotomy. No significant side effect was , noted in patients treated with azithromycin. Conclusion: Single-dose azithromycin is an effective treatment for AOM, without any significant side effect, which is tolerated very well.