Because of this finding, Drs. Rosenfeld and Mitchell have already changed their practice and no longer routinely use antibiotics in this setting.
For Nancy Bauman, MD, a pediatric otolaryngologist at Children’s National Medical Center in Washington, D.C., such a switch is not yet likely, however. Although she applauds the authors for their diligent review of the literature and developing guidelines that represent an outstanding review of the data, she nonetheless is hesitant to change her clinical practice and accept the particular recommendation regarding antibiotic use until she can review the topic further.
“I know that personal and anecdotal experience should not guide my judgement in the face of evidence based guidelines,” she said, “However, I am not certain that enough data is available to judge the effect of antibiotics for pain control in the pediatric patient population.”