A 2-year-old Aboriginal boy living in a remote community has recurrent ear infections and persistent middle ear effusion with hearing loss. Otoscopy t...

Question

A 2-year-old Aboriginal boy living in a remote community has recurrent ear infections and persistent middle ear effusion with hearing loss. Otoscopy today shows bilateral tympanic membrane perforations with discharge. According to Indigenous ear health guidance, what is the most appropriate management?

Accepted Answer

Regular aural toilet and topical non-ototoxic antibiotic drops, plus hearing assessment and consideration of ENT referral

Answer

Reassure; no treatment is needed

Answer

Topical ototoxic ear drops and no follow-up

Answer

Oral decongestants only

Answer

Delay any intervention until school age

au-amc MCQ (SBA): Otitis media Indigenous child remote community