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    Acute Otitis Media

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    Ahmad Syahmi YZ
    This document provides guidelines for diagnosing and treating suspected acute otitis media (AOM). It lists common AOM symptoms and signs found during otoscopy. It recommends observing patients with mild symptoms and an intact tympanic membrane, while treating those with more severe symptoms, fever, or a perforated membrane. Treatment involves antibiotics like amoxicillin or erythromycin for 5-7 days. It provides guidance on determining resolution versus referral to an ENT specialist.

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    Acute Otitis Media

    Uploaded by

    Ahmad Syahmi YZ
    25 views1 page
    This document provides guidelines for diagnosing and treating suspected acute otitis media (AOM). It lists common AOM symptoms and signs found during otoscopy. It recommends observing patients with mild symptoms and an intact tympanic membrane, while treating those with more severe symptoms, fever, or a perforated membrane. Treatment involves antibiotics like amoxicillin or erythromycin for 5-7 days. It provides guidance on determining resolution versus referral to an ENT specialist.

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    Guideline KK

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    This document provides guidelines for diagnosing and treating suspected acute otitis media (AOM). It lists common AOM symptoms and signs found during otoscopy. It recommends observing patients with mild symptoms and an intact tympanic membrane, while treating those with more severe symptoms, fever, or a perforated membrane. Treatment involves antibiotics like amoxicillin or erythromycin for 5-7 days. It provides guidance on determining resolution versus referral to an ENT specialist.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    25 views1 page

    Acute Otitis Media

    Uploaded by

    Ahmad Syahmi YZ
    This document provides guidelines for diagnosing and treating suspected acute otitis media (AOM). It lists common AOM symptoms and signs found during otoscopy. It recommends observing patients with mild symptoms and an intact tympanic membrane, while treating those with more severe symptoms, fever, or a perforated membrane. Treatment involves antibiotics like amoxicillin or erythromycin for 5-7 days. It provides guidance on determining resolution versus referral to an ENT specialist.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    Suspected acute otitis media:

    Otalgia / fever / crying / irritable / URTI symptoms / poor appetite / vomiting / diarrhea

    (not all symptoms may be present)

    Otoscopy signs of:


    middle ear effusion (reduced TM mobility, bulging TM, otorrhea)
    and
    middle ear inflammation (erythematous TM, otalgia)

    No Yes

    Not AOM Assess severity / perforation

    TM intact AND non-severe illness Perforated TM OR severe illness


    (mild otalgia, T <39 oC) (moderate to severe otalgia, T ≥39 oC)

    Observe for 48-72 hours


    T. Augmentin 625mg tds for 5-7 days
    Give paracetamol for pain relief

    Resolution Not resolving Resolution

    Start antibiotics:
    Not resolving or red flag:
    Amoxicillin 500mg tds 5-7 days 1. Recurrent acute otitis media
    2. Persistent otorrhea
    In penicillin allergy: 3. Concerns about mastoiditis or other
    Erythromycin 250-500mg qid 5-7 complications of AOM
    days 4. Perceived need for tympanocyntesis
    and/or myringotomy
    5. Abnormal audiological evaluation
    Review in 48-72 hours

    Refer ENT

    Resolution Not resolving

    1. Consensus Guidelines on URTI, Malaysian Society of Otorhinolaryngologists Head & Neck Surgeons (MSO-
    HNS) 2009.
    2. Otitis media (Acute): Antimicrobial prescribing. NICE Guideline 2017.

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