Acute Otitis Media (AOM)
Acute Otitis Media (child doses)
Acute Otitis Media CKS
NICE feverish children
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 or symptom score >8 for: fever; tugging ears; crying; irritability; difficulty sleeping; less playful; eating less (0 = no symptoms, 1 = a little, 2 = a lot)
All ages with otorrhoea NNT3.
Abx to prevent Mastoiditis NNT >4000.
Neonate 7-28 days 30mg/kg TDS
1 month-1 yr: 125mg TDS
1-4 years: 250mg TDS
5-18 years: 500mg TDS
Penicillin Allergy: erythromycin
<2 years 125mg QDS
2-8 years 250mg QDS
8-18 years 250-500mg QDS