Given the increasing resistance, one ought to restrict the use of
board spectrum antibiotics.
The short-course regimens are cheaper, secondary to the reduced
amount of antibiotics needed.
The short-course regimens have a potential, although not proven,
reduction in side effects.
Further studies may be warranted using even shorter courses of antibiotics
The results of this study could be used in conjunction with initial
3 day "watchful waiting" with anti-inflammatory/analgesic
use. In other words, if there is no improvement after three
days without antibiotics, one could select a short-course regimen.
Kozyrskyj AL. Hildes-Ripstein GE. Longstaffe SE. Wincott JL. Sitar DS.
Klassen TP. Moffatt ME. Treatment of acute otitis media with a shortened course of antibiotics: a meta-analysis. JAMA.