What is the best treatment for acute otitis media?
High-dose amoxicillin (80 to 90 mg per kg per day) is the antibiotic of choice for treating acute otitis media in patients who are not allergic to penicillin.
When should AOM be treated with antibiotics?
Key Action Statement 3A: Severe AOM: The clinician should prescribe antibiotic therapy for AOM (bilateral or unilateral) in children 6 months and older with severe signs or symptoms (ie, moderate or severe otalgia or otalgia for at least 48 hours or temperature 39°C [102.2°F] or higher).
Why is amoxicillin first line for AOM?
Therefore, because of its excellent ‘track record’ (for infections due to penicillin-susceptible and -resistant bacteria), low cost, safety and acceptability to patients, amoxicillin remains the drug of choice for uncomplicated AOM.
What antibiotics treat otitis media?
Antibiotic Selection. High-dosage amoxicillin (80 to 90 mg per kg per day, divided into two daily doses for 10 days) is recommended as first-line antibiotic therapy in children with acute otitis media.
What are the complications of otitis media?
Otitis media (OM) is the most common illness of childhood, and its management is a controversial topic. Serious complications of acute otitis media (AOM) include meningitis, brain abscesses, epidural abscesses, mastoiditis, permanent sensorineural hearing loss, and death.
Can azithromycin be used for otitis media?
From the present systematic review and meta-analysis, it can be concluded that the efficacy of azithromycin is comparable to amoxicillin/clavulanate, and it is safer and more tolerable by children. Azithromycin can, also be considered a drug of choice in treatment of otitis media on children.
Is azithromycin good for otitis media?
Who is most at risk for acute otitis media?
An ear infection (sometimes called acute otitis media) is an infection of the middle ear, the air-filled space behind the eardrum that contains the tiny vibrating bones of the ear. Children are more likely than adults to get ear infections.
Should antibiotics be prescribed for acute otitis media?
Management of acute otitis media should begin with adequate analgesia. Antibiotic therapy can be deferred in children two years or older with mild symptoms. High-dose amoxicillin (80 to 90 mg per kg per day) is the antibiotic of choice for treating acute otitis media in patients who are not allergic to penicillin.
What is the first line treatment for otitis media?
Amoxicillin.
Is acute otitis media a treatable disease?
O titis media affects almost every child before school age, and acute otitis media (AOM) is the most common indication to prescribe antimicrobial treatment at primary care level. 1 Recently, the