otitis%20media%20-%20acute
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
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Infectious Diseases - Malaysia digital copy today!
DOWNLOAD
Editor's Recommendations
Most Read Articles
Radha Chitale, 25 Apr 2016
Two kinds of oral bacteria were associated with an increased risk of pancreatic cancer, according to research presented at the 2016 meeting of the American Association for Cancer Research (AACR), held recently in New Orleans, Louisiana, US.
24 Dec 2017
Patients with fluoroquinolone-resistant rectal vault flora appear to have higher odds of developing infectious complications following transrectal ultrasound-guided prostate needle biopsy despite targeted prophylaxis, a study has found.
31 Mar 2016
Lymphoid-resistant commensal bacteria (LRCs) colonize the interstitial lymphoid tissues of healthy mammals.
Pearl Toh, 03 Nov 2017
Increasing daily water intake by 1.5 L can half the risk of recurrent acute uncomplicated cystitis (rAUC) in women, suggests a study presented at the recent Infectious Disease Week (IDWeek) in San Diego, California, US.