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Any child identified with otitis media should be actively managed. This national consensus statement extends existing treatment and management guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main recommendations<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>Undertake checks at least 6\u2010monthly, commencing at 6 months until 4 years of age, then at 5 years. Undertake checks more frequently in high risk settings for children under 2 years, when acceptable to families, or in response to parent\/carer concerns.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Ask parents\/carers about concerns, signs, and symptoms; check children's listening and communication skills; and assess middle ear appearance and mobility.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Otoacoustic emissions testing is suggested when equipment is available, primary health practitioners have capability and confidence to use the equipment, and there is local preference for its use.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Video otoscopy is suggested for health promotion purposes, and\/or for sharing images with other health practitioners.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Audiometry should be done as per existing guidelines: when there are parent\/carer concerns, signs of persistent\/recurrent otitis media, or when listening and communication development is not yet on track.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>Changes in management as a result of this statement<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>Key practice changes include routine use of tympanometry, and listening and communication skills checklists. Implementation will require access to equipment and training; clear information on immediate, practical actions for families; timely pathways to referral services; and a change management process that shifts perception and tolerance of otitis media and its impacts and raises expectations that Aboriginal and Torres Strait Islander children can have healthy ears and hearing.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec>","DOI":"10.5694\/mja2.52100","type":"journal-article","created":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T00:34:31Z","timestamp":1694910871000},"page":"386-392","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Routine ear health and hearing checks for Aboriginal and Torres Strait Islander children aged under 6\u00a0years attending primary care: a national consensus statement"],"prefix":"10.5694","volume":"219","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4067-3632","authenticated-orcid":false,"given":"Samantha","family":"Harkus","sequence":"first","affiliation":[{"name":"National Acoustic Laboratories Macquarie University  Sydney NSW"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivienne","family":"Marnane","sequence":"additional","affiliation":[{"name":"National Acoustic Laboratories Macquarie University  Sydney NSW"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel","family":"O'Keeffe","sequence":"additional","affiliation":[{"name":"National Acoustic Laboratories Macquarie University  Sydney NSW"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen","family":"Kung","sequence":"additional","affiliation":[{"name":"National Acoustic Laboratories Macquarie University  Sydney NSW"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meagan","family":"Ward","sequence":"additional","affiliation":[{"name":"National Acoustic Laboratories Macquarie University  Sydney NSW"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil","family":"Orr","sequence":"additional","affiliation":[{"name":"Macquarie University  Sydney NSW"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Skinner","sequence":"additional","affiliation":[{"name":"Macquarie University  Sydney NSW"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelvin","family":"Kong","sequence":"additional","affiliation":[{"name":"Hunter Medical Research Institute University of Newcastle  Newcastle NSW"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lose","family":"Fonua","sequence":"additional","affiliation":[{"name":"Centre for Health Equity University of Melbourne  Melbourne VIC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9691-068X","authenticated-orcid":false,"given":"Michelle","family":"Kennedy","sequence":"additional","affiliation":[{"name":"University of Newcastle  Newcastle NSW"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Belfrage","sequence":"additional","affiliation":[{"name":"Royal Australian College of General Practitioners  Melbourne VIC"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,9,16]]},"reference":[{"key":"e_1_2_8_1_1","volume-title":"Otitis media guidelines for Aboriginal and Torres Strait Islander children","author":"Menzies School of Health Research","year":"2020"},{"key":"e_1_2_8_2_1","volume-title":"World report on hearing","author":"World Health Organization","year":"2021"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-08570-3"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.5172\/conu.2013.46.1.28"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/14643154.2020.1826101"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-5-27"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(86)90041-X"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-407794-2.00031-6"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.17061\/phrp3152129"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13476"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1071\/PY18162"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-2475"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.15044"},{"key":"e_1_2_8_14_1","unstructured":"Commissioner for Children and Young People Western Australia.Developmental screening. 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