Otitis Media
- Micro-organism
Children with acute otitis media should NOT be routinely prescribed antibiotics. Consider delayed treatment if not improving.
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