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!
Sign In To Download
Editor's Recommendations
Most Read Articles
Pank Jit Sin, 02 May 2018
Leptospirosis is an endemic disease in Malaysia, but may be missed as doctors are not looking for it. 
Jairia Dela Cruz, 02 Oct 2018
Hepatitis D virus infection is highly prevalent in subgroups of individuals with intravenous drug use and those with high-risk sexual behaviour, study has reported. Its prevalence has also increased twofold over time in patients infected with hepatitis B virus.
Dr. Joseph Delano Fule Robles, 14 Sep 2018

The nucleotide analogue tenofovir disoproxil fumarate (TDF) is associated with mild renal impairment in a minority of patients being treated for chronic hepatitis B virus (HBV) infection, a study by the Chinese University of Hong Kong (CUHK) has shown.

07 Sep 2018
Children with Down syndrome appear to have an elevated risk of developing severe respiratory syncytial virus (RSV) infection, a study has found.