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Acute Otitis Media: Sensitivity and Specificity

Introduction: None written.

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Tags: Infection Pediatrics Tag this Diagnosis.

Prevalence

Population / CalculatorPrevalence Comments / Study / Link
Children 0-2 years visiting a pediatrician 17.4% JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123
Children 2-5 years visiting a pediatrician 18.1% JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123
Children 6-10 years visiting a pediatrician 10.5% JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123
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The sensitivity and specificity of findings for Acute Otitis Media are listed below. See the left navigation bar to change the display.

Sensitive and Specific Findings

Finding SensitivitySpecificity Comments, Study
Cloudy Tympanic Membrane Edit 90.8%91.7%

PLR for "distinctly red" TM = 2.6

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Immobile Tympanic Membrane Edit 96.5%88.5%

"distinctly immobile"

PLR for slightly impaired mobility = 1.1

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Specific Findings

Finding SensitivitySpecificity Comments, Study
Bulging Tympanic Membrane Edit 61.2%96.9%

PLR for retracted TM is 1.3

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Ear Pain Edit 57%87%

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Ear Rubbing Edit 42%87%

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Sensitive Findings

Finding SensitivitySpecificity Comments, Study
Upper Respiratory Tract Infection Edit 96%29%

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Negative Findings

Finding SensitivitySpecificity Comments, Study
Fever Edit 40%48%

another study had different sens/spec but similar LRs

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Cough Edit 47%45%

another study had different sens/spec but similar LRs (1.0)

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Poorly Diagnostic Findings

Finding SensitivitySpecificity Comments, Study
Parental Diagnosis Edit 70%80%

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Excessive Crying Edit 55%69%

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Poor Appetite Edit 36%66%

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Restless Sleep Edit 64%51%

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Rhinitis Edit 75%43%

Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123