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Antibiotics for acute otitis media: yes or no.

Patients, their families, and their physicians may have different perspectives about the risks and benefits of treatment options for children’s middle ear infections.1 For instance, patients and their family members may favor aggressive use of antibiotics to treat otitis media, hoping to alleviate pain and discomfort as quickly as possible. In contrast, pediatricians and other physicians must remain cognizant of public health issues related to the overuse of antibiotics. There is no doubt antibiotics have been overused since their introduction decades ago. Nevertheless, the allure of antibiotics is powerful because they can save lives, cure illness, and hasten recovery from common maladies like middle ear infections.