Get Acute Otitis Media Aom Encounter Form - American Academy Of - Aafp

Article Sections. Diagnostic criteria for acute otitis media include rapid onset of symptoms, middle ear effusion, and signs and symptoms of middle ear inflammation.

Surgery has become the most widely accepted therapeutic intervention for persistent otitis media with effusion (OME), and it is clearly effective. The interventions include myringotomy with or without tube insertion, adenoidectomy, or both.

Most patients can be treated effectively with an analgesic such as a nonsteroidal antiinflammatory medication or acetaminophen. Choice of initial antibiotic — Our choice for first-line therapy is -clavulanate. In most adults, the dose is 875 mg with clavulanate 125 mg orally twice daily.

If a decision is made to treat with antimicrobials, either divided twice per day at a dose of 75 mg/kg/day to90 mg/kg/day or divided three times per day at a dose of 45 mg/kg/day to 60 mg/kg/day are the first choices for AOM therapy.

Management of acute otitis media should begin with adequate analgesia. Antibiotic therapy can be deferred in children two years or older with mild symptoms. High-dose (80 to 90 mg per kg per day) is the antibiotic of choice for treating acute otitis media in patients who are not allergic to .

Ototopical administration of a drug called vinpocetine that was repurposed has been tested in mice and shown to reduce inflammation and mucus production in the middle ear during otitis media.

Management of acute otitis media should begin with adequate analgesia. Antibiotic therapy can be deferred in children two years or older with mild symptoms. High-dose (80 to 90 mg per kg per day) is the antibiotic of choice for treating acute otitis media in patients who are not allergic to .

Key Points Acute otitis media (AOM) may be treated with close observation only in the following children without severe signs or symptoms (severe otalgia or fever >39°C (102.2°F): ... First-line antibiotic treatment for AOM is high-dose (90 mg/kg/d).