Question

A 3-year-old has 2 days of fever, ear pain and irritability. Otoscopy shows an erythematous bulging tympanic membrane. He is otherwise well. What is the recommended approach?

Accepted Answer

Consider no or delayed antibiotic; give amoxicillin if systemically unwell or <2 with bilateral AOM

Answer

Immediate antibiotics for all children with AOM

Answer

No antibiotics; all AOM is viral

Answer

Topical antibiotic ear drops

Answer

Start co-amoxiclav in all cases

Practice question

A 3-year-old has 2 days of fever, ear pain and irritability. Otoscopy shows an erythematous bulging tympanic membrane. He is otherwise well. What is the recommended approach?