Question

A previously healthy 18‑month-old has unilateral acute otitis media with mild otalgia, temperature 100.8°F (38.2°C), and reliable follow-up. What is acceptable management?

Accepted Answer

Watchful waiting with analgesia for 48-72 hours

Answer

Immediate amoxicillin-clavulanate

Answer

Immediate ceftriaxone IM for 3 days

Answer

Azithromycin due to penicillin resistance

Answer

No treatment; follow-up in 2 weeks

Practice question

A previously healthy 18‑month-old has unilateral acute otitis media with mild otalgia, temperature 100.8°F (38.2°C), and reliable follow-up. What is acceptable management?