Jj. Schentag, ANTIBIOTIC-TREATMENT OF ACUTE OTITIS-MEDIA IN CHILDREN - DOSING CONSIDERATIONS, The Pediatric infectious disease journal, 14(4), 1995, pp. 30-33
Dosing considerations in the use of antibiotics are as important as an
tibacterial activity in determining the clinical outcome of pediatric
acute otitis media, Clinical aspects of dosing, such as duration and f
requency of the daily dosage regimen, and practical aspects, including
taste, need for refrigeration and food restrictions, both influence c
ompliance with antibiotic therapy, An antibiotic that has a short, sim
ple dosing regimen and is convenient to administer and acceptable to b
oth parent and child will improve compliance and thus will more reliab
ly resolve infection, will decrease the incidence of recurrence and ma
y minimize the development of bacterial resistance. Among antibiotics
used to treat pediatric acute otitis media, the azalide azithromycin h
as a relatively simple once daily, B-day treatment schedule and a plea
sant taste, requires no refrigeration and has no food restrictions, Th
ese favorable dosing characteristics of azithromycin will enhance comp
liance and contribute to the successful resolution of acute otitis med
ia.