Acute Otitis Media (child doses)
CKS OM
NICE feverish children
Amoxicillin
Child doses
Neonate 7-28 days 30mg/kg TDS
1 month-1 yr: 125mg TDS
1-5 years: 250mg TDS
5-18 years: 500mg TDS
5 days
Penicillin Allergy: erythromycin
<2 years 125mg QDS
2-8 years 250mg QDS
8-18 years 250-500mg QDS
5 days
Optimise analgesia and target antibiotics AOM resolves in 60% in 24hrs without antibiotics, which only reduce pain at 2 days (NNT15) and does not prevent deafness. Consider 2 or 3-day delayed or immediate antibiotics for pain relief if:
<2 years AND bilateral AOM (NNT4) or bulging membrane and
≥ 4 marked symptoms.
All ages with otorrhoea NNT3. Abx to prevent Mastoiditis NNT >4000