Question

A 2-year-old with acute otitis media (moderate otalgia, T = 102.4 °F) has no drug allergies and no recent antibiotics. Best first-line antibiotic and dosing?

Accepted Answer

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

Answer

Azithromycin once daily for 3 days

Answer

Cefdinir 14 mg/kg/day once daily

Answer

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

Answer

Observation without antibiotics for 10 days

Practice question

A 2-year-old with acute otitis media (moderate otalgia, T = 102.4 °F) has no drug allergies and no recent antibiotics. Best first-line antibiotic and dosing?