A 4-year-old Aboriginal boy from a remote community has had persistent bilateral otorrhoea for 6 weeks and difficulty hearing. Otoscopy shows perforated tympanic membranes with purulent discharge. What is the most appropriate management priority?AReassure and observe, as this will likely resolve spontaneouslyBStart topical quinolone ear drops and arrange ENT/audiology referralCStart oral decongestants and antihistaminesDInsert ear candles to 'clear wax'EOnly perform hearing assessment at school ageCheck my answer