Question

A 6-year-old Aboriginal boy living in a remote community has chronic bilateral ear discharge and documented hearing loss on screening. Examination shows perforated tympanic membranes with persistent otorrhoea. According to Aboriginal and Torres Strait Islander otitis media guidelines, what is the most important next management step?

Accepted Answer

Arrange timely ENT and audiology referral and institute intensive medical treatment to prevent further hearing loss

Answer

Reassure and review in 12 months as this usually resolves spontaneously

Answer

Start oral amoxicillin for 3 days only

Answer

Avoid antibiotics and use decongestant nasal sprays only

Answer

Advise against swimming but no other action is required

Practice question