• Disease
  • Otitis
  • Otitis Media
  • Richard H Schwartz

    Prominent publications by Richard H Schwartz

    KOL Index score: 14379

    BACKGROUND: 7-Valent pneumococcal conjugate vaccine (PCV7 [Prevnar, Wyeth Pharmaceuticals Inc, Philadelphia, PA], serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) is effective in preventing vaccine-serotype pneumococcal disease. 13-Valent pneumococcal conjugate vaccine (PCV13) (PCV7 serotypes plus 1, 3, 5, 6A, 7F, and 19A) was designed to provide broader pneumococcal disease coverage. We evaluated the immunogenicity and safety of PCV13 compared with PCV7.

    METHODS: Infants received PCV13 or ...

    Also Ranks for: Pcv13 Pcv7 |  pneumococcal conjugate |  toddler dose |  immunogenicity safety |  vaccine humans
    KOL Index score: 12461

    BACKGROUND: High dose amoxicillin is recommended for the initial treatment of children with acute otitis media (AOM), particularly patients at risk for having drug-resistant Streptococcus pneumoniae. Single dose azithromycin (30 mg/kg) is considered an alternative agent for the treatment of AOM.

    OBJECTIVE: To compare the clinical efficacy and safety of single dose azithromycin with that of high dose amoxicillin among children with uncomplicated AOM.

    METHODS: This was a double blind, ...

    Also Ranks for: Single Dose |  otitis media |  children aom |  2 years |  haemophilus influenzae
    KOL Index score: 11273

    INTRODUCTION: Otitis externa (OE) is an infection of the external auditory canal affecting children and adults and is associated with symptoms of local pain and tenderness. Twice-daily topical treatment with ofloxacin otic solution (0.3% [Floxin otic solution]) for 10 days has been reported to be as effective and well tolerated as neomycin sulfate/polymyxin B sulfate/hydrocortisone otic suspension (Cortisporin otic suspension) administered four times daily for 10 days.

    OBJECTIVE: This ...

    Also Ranks for: Ofloxacin Otic |  otitis externa |  neomycin sulfate |  efficacy safety |  pain relief
    KOL Index score: 10373

    Two hundred sixty-three pediatric patients from the ages of 3 months to 11 years were enrolled in a randomized, investigator-blinded, multicenter study comparing the clinical and bacteriological efficacies and safety of cefuroxime axetil suspension (CAE) with those of amoxicillin-clavulanate suspension (AMX-CL) in the treatment of acute otitis media with effusion. Patients received CAE at 30 mg/kg of body weight per day (n = 165) in two divided doses or AMX-CL at 40 mg/kg/day (n = 98) in ...

    Also Ranks for: Acute Otitis Media |  patients cae |  divided doses |  clavulanate suspension |  cefuroxime axetil
    KOL Index score: 10199

    BACKGROUND: In recent years there has been considerable interest in reducing the duration of antibiotic treatment regimens in patients with common bacterial infections. We conducted two independent, investigator-blinded, multicenter, randomized clinical trials, one of which included microbiologic evaluation of middle ear fluid obtained by tympanocentesis, comparing the efficacy and safety of 5 or 10 days of treatment with cefuroxime axetil suspension (CAE) with that of 10 days of ...

    Also Ranks for: Acute Otitis Media |  10 treatment |  cefuroxime axetil suspension |  patients tympanocentesis |  amoxicillin clavulanate
    KOL Index score: 9721

    Two independent, investigator-blinded, multicenter, randomized clinical trials, one of which included microbiologic evaluation of middle-ear fluid obtained by use of tympanocentesis, compared the efficacy and safety of two oral antibiotics, cefuroxime axetil suspension and amoxicillin/clavulanate suspension, in the treatment of children 3 months to 12 years old diagnosed with acute otitis media with effusion (AOME). Four hundred seventy-seven pediatric patients with signs and symptoms of ...

    Also Ranks for: Cefuroxime Axetil |  acute otitis media |  divided doses |  amoxicillin clavulanate |  diarrhea patients
    KOL Index score: 9218

    INTRODUCTION: Recent advances in the diagnosis and treatment of influenza virus infections include: (1) rapid bedside diagnosis methods with simple commercially available tests; and (2) Food and Drug Administration approval of treatment for children 1 year of age and older with neuraminidase inhibitor drugs. For proven benefit antivirals should be used within 2 days of onset of symptoms.

    OBJECTIVES: We conducted a performance improvement exercise comparing the sensitivity and specificity ...

    Also Ranks for: Diagnostic Tests |  influenza virus |  sensitivity specificity |  directigen quickvue |  positive predictive
    KOL Index score: 8992

    Background:To evaluate the effects of an amino acid–based formula (AAF) with synbiotics on growth and tolerance in healthy infants. The hypoallergenicity of this AAF with synbiotics was evaluated in subjects with cow’s milk allergy (CMA).Methods:Study 1: 115 full-term, healthy infants randomly received an AAF with synbiotics or a commercially available AAF for 16 wk. Subjects’ weight, length, and head circumference were primary outcome measures. Stool characteristics and gastrointestinal ...

    Also Ranks for: Aaf Synbiotics |  amino acid |  tolerance hypoallergenicity |  healthy infants |  based formula
    KOL Index score: 7836

    The combination of tetracaine, adrenalin, and cocaine (TAC) has become increasingly popular as a topical anesthetic for the suturing of simple skin lacerations. The purpose of this study was to determine the effects of TAC on a urine drug test for cocaine. On the morning after the use of TAC, 14 of 18 patients (78%) studied had positive screening tests for benzoylecgonine (cocaine metabolite) by the enzyme multiplied immunoassay test (EMIT) method. All specimens also were analyzed by gas ...

    Also Ranks for: Cocaine Tac |  topical anesthesia |  local child child |  gas chromatography |  urine drug
    KOL Index score: 7480

    BACKGROUND: Lack of agreed-upon diagnostic criteria for acute otitis media (AOM) has led to inconsistencies in clinical care, misleading research results, and misguided educational efforts. The objective of this study was to examine findings that expert otoscopists use when diagnosing AOM.

    METHODS: A group of experienced otoscopists examined 783 children presenting for primary care. In addition, endoscopic still images of the tympanic membranes (TMs) were obtained. A random sample of 135 ...

    Also Ranks for: Otitis Media |  aom ome |  educational efforts |  tympanic membrane |  preschool humans
    KOL Index score: 7299

    OBJECTIVE: Senior medical students (n = 2,433) from 21 accredited medical schools in New England and the mid-Atlantic states were surveyed to evaluate their knowledge of and compliance with principles of judicious antimicrobial use, as defined by the Centers for Disease Control and others.

    MATERIALS AND METHODS: A self-administered questionnaire with six vignettes on the clinical management of different upper respiratory tract infections was used. Compliance was calculated by using an ...

    Also Ranks for: Medical Students |  judicious antibiotic |  upper respiratory |  disease control |  tract infections
    KOL Index score: 7249

    Marijuana, if rescheduled by the Drug Enforcement Agency, would be the only Food and Drug Administration (FDA)-approved drug to be administered by smoking. American physicians need timely, factual information about probable usage patterns and potential adverse effects of medical marijuana, and a factual complete review of the literature on the subject. We mailed a survey to 1,500 American clinical oncologists. Of particular interest was whether and how often in the past 24 months these ...

    Also Ranks for: Medical Marijuana |  health personnel |  nausea vomiting |  collection drug |  synthetic tetrahydrocannabinol
    KOL Index score: 7011

    BACKGROUND: Acute mastoiditis is reported to occur 2 or 3 times annually in the largest children's hospitals. We encountered an average of 1 case annually at our hospital from 1986 to 1991. During an 8-year period ending October 31, 1999, 22 patients were diagnosed and treated at our hospital. Of these, 17 presented during the last 34 months.

    METHODS: Retrospective chart review from office and hospital records of children from infancy to age 12 years with a discharge diagnosis of acute ...

    Also Ranks for: Acute Mastoiditis |  subperiosteal abscess |  streptococcus pneumoniae |  myringotomy drainage |  discharge diagnosis


    Richard H Schwartz: Influence Statistics

    Sample of concepts for which Richard H Schwartz is among the top experts in the world.
    Concept World rank
    throat swabs 25 #1
    residents substanceabusing adolescent #1
    aome diarrhea #1
    influenzae isolates 100 #1
    monthlyuse rates #1
    technique office bacteriology #1
    rehabilitation program keith #1
    accredited child #1
    sulfisoxazole child #1
    widespread media coverage #1
    crack 50 #1
    variation low risk #1
    percent heavy users #1
    10 amx #1
    specificity cocaine humans #1
    combination indications #1
    nonepidemic pharyngitis #1
    heavy intermediate users #1
    male phencyclidine abuse #1
    amx higher incidence #1
    painless aome #1
    1990s adolescent humans #1
    child psychiatry residents #1
    5 10 effusions #1
    reform advocates #1
    crack 87 #1
    apparent absence earache #1
    newborn remission #1
    crack experimenters #1
    underappreciated toxicity #1
    phencyclidine adolescents #1
    30 study children #1
    cae daily #1
    increase lsdrelated arrests #1
    lsd nida #1
    2 throat #1
    years 25 increase #1
    antibiotics simple uri #1
    shortterm purulent rhinorrhea #1
    adolescent cocaine abuse #1
    amx daily #1
    correlates earache #1

    Key People For Otitis Media

    Top KOLs in the world
    Charles D Bluestone
    otitis media eustachian tube middle ear
    Jerome O Klein
    otitis media middle ear newborn infant
    Jack L Paradise
    otitis media tympanostomy tubes cleft palate
    Richard M Rosenfeld
    otitis media clinical practice guideline cerumen impaction
    middle ear otitis media new zealand
    Bernard A Rosner
    breast cancer blood pressure nurses health study

    Richard H Schwartz:Expert Impact

    Concepts for whichRichard H Schwartzhas direct influence:Otitis media,  Acute otitis media,  Bifid uvula,  Acute otitis,  Middle ear,  Bacterial endocarditis,  Dose amoxicillin,  Emla cream.

    Richard H Schwartz:KOL impact

    Concepts related to the work of other authors for whichfor which Richard H Schwartz has influence:Otitis media,  Sore throat,  Cefuroxime axetil,  Streptococcus pyogenes,  Streptococcal pharyngitis,  Acute mastoiditis,  Haemophilus influenzae.



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    From the Department of Pediatrics, *Inova Children's Hospital, Falls Church; and †Virginia Commonwealth University School of Medicine, Inova Campus, Fairfax, VA. | Inova Children's Hospital Department of Pediatrics Falls Church Virginia | Dep