This technology will almost certainly be better at visualizing the nonwaxed tympanic membrane compared to your average doctor. Of course appearance of the drum is only part of the equation with symptoms and fever being the other components. This technology could conceivably be managed via 'telehealth' and in rural and remote Australia expensive electronic otoscopes are used by ENT/ORL specialists.
According to the Cochrane review antibiotics have minimal effect on symptom resolution (1 day less out of 5) and the number needed to treat to prevent mastoiditis is over 2000. In the context of other viral symptoms antibiotics are even more likely to be ineffective. Side effects from antibiotics rates would be higher than the benefit. In other words most AOM (properly diagnosed) in my opinion do not need antibiotics. And drum signs without fever and symptoms should not get antibiotics.
The real question is should this be targeted at parents and what would the parents do with the images once they have them. Given that the purchasers are more than likely higher socioeconomic status worried parents (I am guessing they would be predominantly white), it is possible they will seek the nearest health provider for their antibiotic 'cure'. Even demand them. Hence I was thinking in response to Amy's question of The Clash's song, I thought of their first single "White Riot".
Sent from iPad.
On 27/06/2012, at 4:34 AM, Amy Baxter <[log in to unmask]> wrote:
> (Yes! "Should I stay or should I go", Combat Rock, 1981. Well done!)
For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is: