Question

A 3-year-old with mild ear pain and temp 38.6°C (101.5°F) is diagnosed with unilateral acute otitis media. Parents are reliable for follow-up. What is an appropriate initial approach?

Accepted Answer

Observation with analgesia and close follow-up for 48-72 hours before antibiotics

Answer

Azithromycin for 3 days

Answer

Immediate amoxicillin-clavulanate

Answer

Immediate amoxicillin 10 days for all cases

Answer

Immediate cefdinir for 10 days

Practice question

A 3-year-old with mild ear pain and temp 38.6°C (101.5°F) is diagnosed with unilateral acute otitis media. Parents are reliable for follow-up. What is an appropriate initial approach?