MediumIndigenous HealthChronic suppurative otitis media in Aboriginal childau-amcau-racgp
A 4-year-old boy is brought to a remote Aboriginal health clinic with a 3-month history of persistent purulent discharge from the right ear and hearing difficulty. Otoscopy shows a large central perforation of the tympanic membrane with ongoing discharge. He has no systemic symptoms. According to the otitis media guidelines for Aboriginal and Torres Strait Islander children, what is the most appropriate initial management?