A 2-year-old Aboriginal boy living in a remote Northern Territory community presents to the local clinic with 24 hours of fever, ear pain and irritabi...

Question

A 2-year-old Aboriginal boy living in a remote Northern Territory community presents to the local clinic with 24 hours of fever, ear pain and irritability. Otoscopy shows a bulging, erythematous tympanic membrane without perforation. He is otherwise well, with no vomiting or systemic features. According to current Australian otitis media guidelines for Aboriginal and Torres Strait Islander children, what is the most appropriate management?

Accepted Answer

Commence oral Amoxicillin for 7 days plus simple analgesia

Answer

Provide simple analgesia only and review in 48 hours

Answer

Start a topical decongestant and antihistamine

Answer

Arrange elective ENT review with no antibiotics

Answer

Give a single dose of intramuscular Ceftriaxone and no further treatment

au-amc MCQ (SBA): Acute otitis media in Aboriginal child