Question

A 12-year-old boy complains of otalgia and otorrhea. Examination reveals a perforated tympanic membrane with purulent discharge. According to NICE guidelines, what is the most appropriate management for acute otitis media with perforation?

Accepted Answer

Oral antibiotics if systemically unwell or high risk, and keep ear dry

Answer

Immediate topical antibiotic drops

Answer

Ear packing in A&E

Answer

Urgent ENT referral for surgical repair

Answer

No treatment necessary

Practice question

A 12-year-old boy complains of otalgia and otorrhea. Examination reveals a perforated tympanic membrane with purulent discharge. According to NICE guidelines, what is the most appropriate management for acute otitis media with perforation?