TREATMENT PLAN

TREATMENT PLAN
Conservative: 

• Usually self-resolves in 1-3 days

Antibiotics indicated for: 

• Bilateral otitis media
• Systemically unwell
• High risk of complications
• Tympanic membrane perforation

Types of antibiotics usually used:

• Amoxicillin 5-7 days is first line, if worsening symptoms (no better in 2-3 days)can
  consider co-amoxiclav
• Alternative: clarithromycin/erythromycin if penicillin is contraindicated

HOSPITAL ADMISSION CRITERIA:

• Severe systemic symptoms
• Suspected complication of AOM (these include: Meningitis, Mastoiditis, Intracranial
  abscess, sinus thrombus, and facial nerve paralysis)
• Children 3-6 months of age
• – Temperatures >38 or more
• < 3 months of age (Have a low threshold for admission for these patients)

PREVENTION:

• Avoid smoking/passive smoking exposure

COMPLICATIONS:

• Otitis media with effusion OME (glue
  ear)
• Hearing impairment
• Speech/language delay
• Communication difficulties
• Tympanic membrane damage
• Mastoiditis
• Intracranial abscess
• Sinus thrombosis
• Meningitis
• Facial ner