Question

A 2-year-old with fever, irritability, and a bulging tympanic membrane is diagnosed with acute otitis media. According to NICE, when is immediate antibiotic therapy recommended?

Accepted Answer

If there is bilateral otitis media in a child under 2 years or signs of severe infection

Answer

In all children under 3 years of age

Answer

Only if the child has had symptoms for over 10 days

Answer

Never for otitis media

Answer

If discharge is present regardless of age

Practice question

A 2-year-old with fever, irritability, and a bulging tympanic membrane is diagnosed with acute otitis media. According to NICE, when is immediate antibiotic therapy recommended?