Otitis media, acute

Micro-organism

Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, Group A Streptococcus

Duration

5 days

Notes
  • AVOID antibiotics as 60% of patients are better in 24 hours without; they only reduce pain at 2 days (NNT 15) and do not prevent deafness.
  • Optimise analgesia.
  • Send aspirate or exudates if drum is perforated
First Line

Oral Amoxicillin 500mg – 1g 8 hourly

Penicillin Allergy

Oral Clarithromycin 500mg 12 hourly