A 3-year-old Aboriginal boy living in a remote community presents with acute otitis media with a bulging tympanic membrane and purulent discharge from...

Question

A 3-year-old Aboriginal boy living in a remote community presents with acute otitis media with a bulging tympanic membrane and purulent discharge from a small perforation. He is otherwise stable. According to updated Australian guidance emphasising high risk in Aboriginal children, what is the most appropriate management?

Accepted Answer

Immediate oral amoxicillin for 5 days plus analgesia

Answer

Analgesia only and review in 48 hours

Answer

Topical decongestants only

Answer

No treatment unless recurrent

Answer

Immediate tympanostomy tube insertion

au-amc MCQ (SBA): Otitis media in Aboriginal children