A 5-year-old Aboriginal boy from a remote community has had persistent otorrhoea from his right ear for 8 weeks. Otoscopy reveals a perforated tympani...

Question

A 5-year-old Aboriginal boy from a remote community has had persistent otorrhoea from his right ear for 8 weeks. Otoscopy reveals a perforated tympanic membrane with purulent discharge. His hearing seems reduced. What is the most appropriate first-line antibiotic management?

Accepted Answer

Topical ciprofloxacin ear drops with aural toilet and ongoing follow-up

Answer

Oral amoxicillin for 5 days only

Answer

Oral trimethoprim-sulfamethoxazole

Answer

No antibiotics are required as it will resolve spontaneously

Answer

Immediate referral for cochlear implant

au-amc MCQ (SBA): Chronic suppurative otitis media

A 5-year-old Aboriginal boy from a remote community has had persistent otorrhoea from his right ear for 8 weeks. Otoscopy reveals a perforated tympanic membrane with purulent discharge. His hearing seems reduced. What is the most appropriate first-line antibiotic management?