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Antihistamines and Decongestants for Secretory Otitis Media in Children: A Review

This commentary discusses the use of antihistamines and decongestants for treating secretory otitis media in children. Based on a Cochrane report from 2011, active treatments did not show significant benefits compared to controls. The risk of side effects was 17%, with a number needed to harm of 9. The conclusion is not to treat with antihistamines, decongestants, or their combinations. In Kronoberg, following the Swedish care program, medications have no place in treating secretory otitis media. The recommendation is to include this commentary in the records without further action, as the region already adheres broadly to the report's recommendations.

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Antihistamines and Decongestants for Secretory Otitis Media in Children: A Review

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  1. SBU-kommentar:Antihistaminer o/e avsvällande läkemedel vid sekretorisk mediaotit (SOM) hos barn. Martin Jägervall Barngruppen

  2. Cochranerapport, 2011 • Avseende tillfrisknande, oavsett behandlingslängd, kunde aktiva behandlingar inte visa signifikanta fördelar jämfört med kontroll • Frekvens biverkningar, 17% (6%), numberneededto harm (NNH) 9. • Slutsats: Behandla inte med antihistaminer, avsvällande läkemedel eller kombinationer av dessa.

  3. Konsekvenser för Kronoberg • Enligt svenskt vårdprogram för rörbehandling har läkemedel ingen plats vid behandling av SOM • Rutinen i Kronoberg (Primärvård, Barnklin, Öronklin) följer det svenska vårdprogrammet • Vårt förslag: Kommentaren lägges till handlingarna utan annan åtgärd. Vi följer redan brett de rekommendationer som ges i rapporten.

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