Otitis Media (Acute): Antimicrobial Prescribing

This guideline sets out an antimicrobial prescribing strategy for acute otitis media . It aims to limit antibiotic use and reduce antimicrobial resistance. Included are recommendations on antimicrobial prescribing, managing acute otitis media in children and young people, and choosing a treatment.

evidence that antibiotics make little difference to the development of common complications possible adverse effects of antibiotics, particularly diarrhoea and nausea.seeking medical help if symptoms worsen rapidly or significantly, do not start to improve after 3 days, or the child or young person becomes systemically very unwell.

When an immediate antibiotic prescription is given, give advice about seeking medical help if symptoms worsen rapidly or significantly, or the child or young person becomes systemically very unwell. Offer an immediate antibiotic prescription with advice .Follow table 1 when prescribing treatment for children and young people with acute otitis media.Apply 4 drops two or three times a day for up to 7 days1 to 4 years: 250 mg three times a day for 5 to 7 daysUnder 8 kg: 7.5 mg/kg twice a day for 5 to 7 days20 to 29 kg: 187.

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