Antimicrobial prescribing: NHS Forth Valley
Important: Therapy
Use paracetamol / ibuprofen
Consider use of anaesthetic ear drops
Otitis Media
Micro Organisms
Children with acute otitis media should NOT be routinely prescribed antibiotics. Consider delayed treatment if not improving.
Antibiotics vs placebo 88% vs 84% no pain at 2-3 days
Link to NICE guidance
Important: Therapy
Amoxicillin PO for 5 days
(If failed on amoxicillin, use co-amoxiclav PO for 5 days)
Notes:
Treatment usually only required if systemically unwell
Important: Therapy
Cefuroxime PO for 5 days
If anaphylaxis - Use Azithromycin