Chronic Suppurative Otitis Media — RACP Paediatrics MCQ

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ModerateRespiratoryChronic Suppurative Otitis MediaRACP Paediatrics

A 9-month-old Aboriginal infant from a remote community in northern Australia has chronic bilateral mucopurulent ear discharge for 6 weeks. What is the most accurate term for this condition?

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Correct answer: B — Chronic suppurative otitis media

Chronic suppurative otitis media (CSOM) is defined as persistent mucopurulent ear discharge through a tympanic membrane perforation for more than 2 weeks (some guidelines use 6 weeks). It is highly prevalent in Aboriginal and Torres Strait Islander children. Management includes dry mopping, topical ciprofloxacin drops, and consideration of ENT referral.

Reference: NHMRC – 2024 – Recommendations for Clinical Care Guidelines on the Management of Otitis Media in Aboriginal and Torres Strait Islander Populations