Thoughts on Ear Infection (Otitis Media) by Jonathan Baldia, NP
Most uncomplicated cases of acute otitis media (AOM) resolve spontaneously, without complications. Studies have demonstrated limited therapeutic benefit from antibiotic therapy. Watchful waiting is appropriate for children who look well, can be comforted with supportive care, and are old enough to easily evaluate. For some children (<24 months) with bilateral AOM will need antibiotic therapy. Children with severe signs or symptoms (moderate or severe headache for ≥48 hr or temperature ≥39°C) will need antibiotic therapy.
Last updated : 2/10/2023