A 3-year-old girl presents with fever, irritability and a bulging, erythematous tympanic membrane on the left. She is systemically well, drinking and ...

Question

A 3-year-old girl presents with fever, irritability and a bulging, erythematous tympanic membrane on the left. She is systemically well, drinking and playing, and has had symptoms for 24 hours. According to eTG-based Australian recommendations for acute otitis media (AOM), what is the most appropriate initial management?

Accepted Answer

Analgesia and observation, with delayed antibiotic prescription if no improvement in 48-72 hours

Answer

Immediate oral amoxicillin for 10 days

Answer

Immediate oral azithromycin

Answer

Topical decongestant nasal drops

Answer

Routine myringotomy and grommet insertion

au-amc MCQ (SBA): Acute otitis media in children