A 3-year-old Aboriginal boy from a remote Northern Territory community has had four episodes of acute otitis media in the last 6 months and currently ...

Question

A 3-year-old Aboriginal boy from a remote Northern Territory community has had four episodes of acute otitis media in the last 6 months and currently has bilateral middle-ear effusions with a flat tympanogram, but no pain or fever. His parents report concerns about hearing and speech delay. According to current Aboriginal and Torres Strait Islander otitis media guidelines, which is the most appropriate next step?

Accepted Answer

Arrange urgent audiology and ENT review and consider tympanostomy tubes

Answer

Reassure and review in 12 months

Answer

Prescribe oral amoxicillin-clavulanate for 10 days and no follow-up

Answer

Recommend over-the-counter decongestants and antihistamines

Answer

Arrange adenoidectomy alone without tympanostomy tubes

au-amc MCQ (SBA): Otitis media with effusion and hearing risk