Acute Otitis Media (AOM)

Optimise analgesia and target antibiotics AOM resolves in 60% in 24hrs without antibiotics, they only reduce pain at 2 days (NNT15) and do not prevent deafness.  Antibiotics to prevent Mastoiditis NNT >4000

Non-Prescription Pad and Patient Information Leaflet

Consider 2 or 3-day delayed or immediate antibiotics for pain relief if: 
<2 years AND bilateral AOM (NNT4) or bulging membrane and ≥ 4 marked symptoms.

or

All ages with otorrhoea (NNT3).  

Amoxicillin 

5 days

Penicillin Allergy: erythromycin

5 Days