Table 1

Strength of Recommendations supporting immediate or watchful waiting approach to antibiotic administration in European, AAP and WHO guidelines

Treatment approachStrength of recommendation
Immediate antibiotics for any AOM
WHOStrong recommendation
Immediate antibiotics for any AOM can be considered
FinlandA
USARecommendation
Czech RepublicNo grade
Watchful waiting approach (except for indications outlined in table 2)
FranceA
ItalyA
SpainA
Denmark
PolandB
PortugalIIa
UKB
BelgiumNo grade
GermanyNo grade
IrelandNo grade
LuxembourgNo grade
The NetherlandsNo grade
NorwayNo grade
SwedenNo grade
SwitzerlandNo grade
Legend
Highest grade
Moderate grade
No grade
  • Note: There is no ‘Lowest grade’ in this table.

  • AAP, American Association of Pediatrics; AOM, acute otitis media; WHO, World Health Organisation.