Question

A 3-year-old with acute otitis media (AOM) has fever 38.4°C and is systemically well. Parents smoke. Ears: bulging erythematous TM on right. Best management:

Accepted Answer

Back-up (delayed) antibiotic prescription with safety-netting

Answer

Immediate antibiotics 10 days for all AOM

Answer

Topical antibiotic drops

Answer

Oral macrolide first-line

Answer

Immediate broad-spectrum co-amoxiclav

Practice question

A 3-year-old with acute otitis media (AOM) has fever 38.4°C and is systemically well. Parents smoke. Ears: bulging erythematous TM on right. Best management: