Bauchner et al1 reported that 74% of the parents of children with acute otitis media were satisfied with intramuscular ceftriaxone sodium treatment, although in 18.7% (50/267) of the children condition did not improve during the 14- to 16-day follow-up. Sixty-eight percent (19/28) of the parents were also satisfied with 10-day treatment with oral amoxicillin and clavulanate potassium; in that group, the nonresponse rate was 10.3% (28/271) (the authors' Table 41). This might indicate that the parents were not very concerned about the improvement of their children's condition. This brings the editor's note how many "patients (the children) would prefer the intramuscular method" to attention again.
Being a physician, I am dissatisfied with the 18.7% (almost one fifth) failure of intramuscular ceftriaxone sodium administration and the 10.3% failure with oral amoxicillin and clavulanate potassium administration. Ethically, I am more concerned about the treatment response in children than treatment preference