Question

An 18-month-old with acute otitis media meets criteria for immediate antibiotics. There is no recent amoxicillin use and no conjunctivitis. What regimen is first-line?

Accepted Answer

High-dose amoxicillin 80-90 mg/kg/day divided twice daily.

Answer

Amoxicillin-clavulanate 45 mg/kg/day divided twice daily.

Answer

Cefdinir 14 mg/kg/day for 3 days.

Answer

Azithromycin 10 mg/kg once daily for 3 days.

Answer

Observation with no prescription.

Practice question

An 18-month-old with acute otitis media meets criteria for immediate antibiotics. There is no recent amoxicillin use and no conjunctivitis. What regimen is first-line?