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The Little Elephant With the Big Earache

Nkuchia M. M'ikanatha, DrPH, MPH
Arch Pediatr Adolesc Med. 2006;160(8):860-861. doi:10.1001/archpedi.160.8.860.
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Overuse of antibiotics for acute otitis media, one of the most common illnesses of preschool-aged children, contributes to antimicrobial resistance.1 Physicians cite parental expectations as one of the factors that influences overprescription of antibiotics to children. Multifaceted campaigns that include printed materials such as pamphlets and posters have been helpful in directing messages on appropriate use of antibiotics to parents. For example, public health officials in Tennessee documented an 11% reduction in antibiotic prescriptions to children that was attributed to a community-wide intervention in which “Antibiotics and Your Child,” a Centers for Disease Control and Prevention pamphlet, was mailed to parents.2

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Eddie, the little elephant with the big earache, is comforted by his mother at night. Illustration by Elaine Garvin, 2004.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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