AOM – no antibiotic — RACP Paediatrics MCQ

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EasyIDAOM – no antibioticRACP Paediatrics

A 4-year-old has AOM with mild symptoms for 24 hours. Not toxic, no high-risk features. What is the most appropriate antibiotic approach?

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Correct answer: A — No antibiotic needed

Most AOM in children ≥2 with mild symptoms can be managed with analgesia alone (watchful waiting) for 48 hours. Reduces unnecessary antibiotic use.

Reference: Australian Therapeutic Guidelines – 2024; RCH Melbourne – 2023