Acute Otitis Media (AOM)
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 and
≥ 4 marked symptoms.
All ages with otorrhoea NNT3. Abx to prevent Mastoiditis NNT >4000