Question

A 2-year-old child is brought in with fever, irritability, and a bulging tympanic membrane suggestive of acute otitis media. According to NICE guidelines, what is the recommended approach for most children with no significant comorbidities?

Accepted Answer

Delayed antibiotic prescription for 2-3 days if symptoms do not improve

Answer

Immediate antibiotics for all children

Answer

No antibiotics, only analgesia

Answer

Immediate referral to ENT specialist

Answer

High-dose steroids

Practice question

A 2-year-old child is brought in with fever, irritability, and a bulging tympanic membrane suggestive of acute otitis media. According to NICE guidelines, what is the recommended approach for most children with no significant comorbidities?