1 Evidence Based Practice Task 2 Evidence to Evaluate
Type of Source
Appropriate or Inappropriate
Type of Research
AAP/AAFP, 2004
Filtered
Appropriate- The article gives guidelines for parents to follow for watchful waiting. This is done rather than giving a child an antibiotic when the AOM is viral and not bacterial.
Evidence Base Guideline
Block, 1997
Unfiltered
Appropriate- The article does provide the proof of resistant bacteria therefore it is considered appropriate. The article speaks of the different types of medications that may be used to treat AOM.
Evidence Summary
Kelley, Friedman, and Johnson, 2007
General Information
Appropriate- The different types of ear infections, ways to diagnose, as well as treatment. The article also speaks about overusing antibiotics. This article promotes watchful waiting.
Summary of evidence
McCraken, 1998
Unfiltered
Appropriate- The different types of AOM viral versus bacterial is spoke of as well as the increase in drug resistant bacteria which comes from over prescribing antibiotics.
Summary of Evidence
Interviews
Unfiltered
Not Appropriate- An interview is just a patients parents insight on AOM. This is not an appropriate resource because it is based on opinion rather than fact.
None of the Above B1. Watchful Waiting
It can be difficult to persuade the population that evidence based medicine is the best approach, especially with children. It is hard for parents to see their children in pain. When a child has an ear infection parents are typically calling within the first few hours after the initial compliant for an antibiotic. With that being said the use of antibiotics for every little sickness has caused a rise in the “super bug” (McCracken, 1998) or antibiotic resistant infection. In the article from The American Academy of Pediatrics (AAP) “Diagnosis and Management of Acute Otitis