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Case study 91 acute otitis media

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Overweeg otitis media acuta OMA bij acuut ontstane oorpijn en bij een loopoor. Bij zuigelingen en peuters ook bij algemene symptomen zie Anamnese , ook als aanwijzingen voor oorpijn of een loopoor ontbreken. Let bij een kind dat een zieke indruk maakt of bij risicofactoren voor complicaties op aanwijzingen voor:. Richtlijnen voor de diagnostiek en behandeling van otitis media acuta bij kinderen en jongeren tot 18 jaar. Net als bij de totstandkoming van de vorige edities van deze standaard werd ook bij deze herziening onvoldoende bruikbaar onderzoek gevonden over acute middenoorontsteking bij volwassenen.
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Otitis media acuta bij kinderen | NHG-Richtlijnen

Concentrations increased by morphine; may need dose adjustment 5. Pregnancy: Based on animal data, may cause fetal harm 8. The starting dose is mg three times a day. The maximum time between doses should not exceed 12 hours. The maximum time interval between doses should not exceed 12 hours. Dosage adjustment in patients 12 years of age and older with renal impairment or undergoing hemodialysis is recommended, as follows see dosing recommendations above for effective doses in each indication :.
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