A 2-year-old child is brought to clinic with 24 hours of ear pain and fever. Vitals: T 101.8 F, HR 110, RR 22. Otoscopic exam shows bulging, erythemat...

Question

A 2-year-old child is brought to clinic with 24 hours of ear pain and fever. Vitals: T 101.8 F, HR 110, RR 22. Otoscopic exam shows bulging, erythematous tympanic membranes with impaired mobility bilaterally. He is otherwise healthy, attends daycare, and has no drug allergies. What is the most appropriate management?

Accepted Answer

Start azithromycin because of daycare attendance

Answer

Observe without antibiotics and follow up in 48-72 hours

Answer

Start high-dose amoxicillin

Answer

Start amoxicillin-clavulanate as first-line

Answer

Prescribe topical antibiotic ear drops alone

us-abfm MCQ (SBA): Acute Otitis Media