Acute Otitis Media: Sensitivity and Specificity

Introduction: None written.

Prevalence

Population / Calculator	Prevalence	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

90.8%

91.7%

PLR for "distinctly red" TM = 2.6

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

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	Sensitivity	Specificity	Comments, Study
Bulging Tympanic Membrane	61.2%	96.9%	PLR for retracted TM is 1.3 Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123
Ear Pain	57%	87%	Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123
Ear Rubbing	42%	87%	Study: JAMA. 2003 Sep 24;290(12):1633-40. PMID: 14506123

Sensitive Findings

96%

29%

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

Negative Findings

40%

48%

another study had different sens/spec but similar LRs

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

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