Acute Otitis Media

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  • 60% of cases resolve within 24 hours and no antimicrobials are required. 
  • If otorrhoea or no improvement after 48 hours of decongestants and analgesics then consider antimicrobials

Antimicrobial Recommendations

Recommended total duration: 5 days

Antimicrobial recommendation Amoxicillin 500mg every 8 hours orally
Penicillin Allergy  Doxycycline 200mg stat then 100mg daily orally

NotesSeek advice from ENT if:

  • no improvement with first line therapy
  • OR in complicated cases (e.g. mastoiditis, facial nerve palsy)
  • OR in recurrent cases

Likely organisms: Viruses, S.pneumoniae, H.influenzae, M.catarrhalis