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OTITIS MEDIA - ACUTE
Otitis media is a general term used to describe inflammation of the middle ear which may be caused by an acute infection.
The symptoms are usually nonspecific and include otalgia (pulling of ear in an infant), irritability, otorrhea with or without fever.
Symptoms of upper respiratory tract infection may also be present.

Patient Education

  • Patient should be reassured regarding good long-term prognosis of acute otitis media (AOM)
  • Patient is advised smoking cessation

Use of Analgesics

  • Discuss the regular use of analgesics until pain decreases
  • Pain must be addressed regardless of the need for antibacterial agents, especially in the 1st 24 hours of illness

Use of Antibiotics

  • Patient should be made aware that in most cases, antibiotics do not improve prognosis
  • Review the risks (eg side effects, antibiotic resistance in the community)
  • Educate the patient that antibiotics are recommended only in severe cases, young patients or if there is no improvement or worsening after 2-3 days of analgesics
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