Keywords: otitis media, antibiotic (PubMed Search)
Posted: 2/3/2023 by Rachel Wiltjer, DO
Click here to contact Rachel Wiltjer, DO
Otitis media is a common pediatric complaint seen in the primary care, urgent care, and ED settings. Recommendations for timing of treatment and deferral of treatment have emerged over the last several years, as have recommendations for regimens for recurrent infections in the age of resistant organisms.
When to consider observation over antibiotics:
High dose amoxicillin (90 mg/kg/day divided BID)
Recurrent Otitis Media
If less than 30 days from initial treatment, presumed to be persistent
If greater than 30 days from initial treatment can treat as new episode (so amoxicillin unless previous documented resistant infections)
Duration of Antibiotics
Gaddey HL, Wright MT, Nelson TN. Otitis Media: Rapid Evidence Review. Am Fam Physician. 2019;100(6):350-356.
Rosenfeld RM, Tunkel DE, Schwartz SR, et al. Clinical Practice Guideline: Tympanostomy Tubes in Children (Update). Otolaryngol Head Neck Surg. 2022;166(1_suppl):S1-S55. doi:10.1177/01945998211065662
Download the UMEM Pearls App!
Subscribe to daily UMEM Pearls (FREE!) via: