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Should we screen every child with otitis media with effusion for allergic rhinitis?
  1. S Miceli Sopo1,
  2. G Zorzi2,
  3. M Calvani, jr3
  1. 1Department of Pediatrics, Catholic University of Rome, Italy;
  2. 2Department of Pediatrics, Catholic University of Rome, Italy
  3. 3Department of Paediatrics, San Camillo De Lellis Hospital, Rome, Italy

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    Spiro, a 12 year old boy, was referred to the Allergy Clinic of Department of Pediatrics because of otitis media with effusion (OME) that had been present for the past four years. A paediatrician and an otolaryngologist advised a consultation with an allergist because they believed that Spiro had OME because he suffered from allergic rhinitis (AR). Should we look for AR in every child with OME?

    Structured clinical question

    Do children with OME [population] have an increased risk of AR [outcome] than children without OME [comparison]?

    Search strategy and outcome

    Our search strategy (extended to 2 August 2003) was:

    • Cochrane Database of Systematic Reviews using: “otitis media AND allergy”; 13 references (none relevant).

    • Medline, via Pubmed: “otitis media with effusion AND allergic rhinitis”; 62 references (four relevant).

    See table 1.

    View this table:
    Table 1

    Allergic rhinitis in children with otitis media


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    • Bob Phillips