Otitis Media


Children with acute otitis media should NOT be routinely prescribed antibiotics. Consider delayed treatment if not improving.

Link to NICE guidance

First Line

Amoxicillin PO for 5 days

(If failed on amoxicillin, use co-amoxiclav PO for 5 days)

Second line: mild intolerance or mild skin reaction

Cefuroxime PO for 5 days

Anaphylaxis (including severe skin reactions) to penicillin / cephalosporins

Clarithromycin PO for 5 days