Question

A 4-year-old Aboriginal girl living in a remote community presents with a long history of bilateral ear discharge and hearing difficulty. Otoscopy shows a chronic perforation with mucopurulent discharge. According to the 2020 Otitis Media Guidelines for Aboriginal and Torres Strait Islander children, which management priority is most appropriate?

Accepted Answer

Arrange early referral to ear, nose and throat services and hearing assessment, and commence prolonged topical and/or systemic therapy as per protocols

Answer

Reassure that the condition will resolve with time

Answer

Short 5-day course of oral amoxicillin only

Answer

Avoid antibiotics and use decongestant nasal sprays

Answer

Fit standard ear plugs to prevent water entry and review in 12 months

Practice question