Question

A 3-year-old with ear pain and fever for 24 hours is systemically well. Otoscopy shows a bulging, erythematous tympanic membrane. What is the most appropriate antibiotic strategy?

Accepted Answer

Back-up (delayed) antibiotic prescription with safety-netting

Answer

Immediate amoxicillin 5 days for all

Answer

Immediate clarithromycin 7 days

Answer

Immediate co-amoxiclav 7 days

Answer

Topical antibiotics

Practice question

A 3-year-old with ear pain and fever for 24 hours is systemically well. Otoscopy shows a bulging, erythematous tympanic membrane. What is the most appropriate antibiotic strategy?