A 3-year-old boy presents with 24 hours of fever and ear pain. Otoscopy shows a bulging, erythematous right tympanic membrane without perforation. He ...

Question

A 3-year-old boy presents with 24 hours of fever and ear pain. Otoscopy shows a bulging, erythematous right tympanic membrane without perforation. He is otherwise well, with no otorrhoea, no chronic ear disease and no significant comorbidities. According to Royal Children's Hospital guidelines, which is the most appropriate initial management?

Accepted Answer

Adequate regular analgesia and review in 24-48 hours

Answer

Immediate oral amoxicillin for 7 days

Answer

Immediate oral amoxicillin-clavulanate for 10 days

Answer

Topical antibiotic ear drops

Answer

Oral antihistamines and decongestants

au-racgp MCQ (SBA): Acute otitis media