CKS NICE
Optimise analgesia
Avoid antibiotics as 60% are better in 24hrs without: they only reduce pain at 2 days and do not prevent deafness.
Non-Prescription Pad and Patient Information Leaflet and NICE Information for Public
Consider immediate or back-up antibiotics for pain relief only if:
<2 years AND bilateral acute otitis media
or
ALL ages with otorrhoea.
Systemically unwell or high risk of complications: immediate antibiotic
Amoxicillin
500mg 3 x daily
5 days
Penicillin Allergy:
Clarithromycin
500mg 2 x daily
5 Days
Optimise analgesia
Avoid antibiotics as 60% are better in 24hrs without: they only reduce pain at 2 days and do not prevent deafness.
Non-Prescription Pad and Patient Information Leaflet and NICE Information for Public
Consider immediate or back-up antibiotics for pain relief only if:
<2 years AND bilateral acute otitis media
or
ALL ages with otorrhoea.
Systemically unwell or high risk of complications: immediate antibiotic