A 4-year-old Aboriginal girl from a remote community presents with chronic bilateral ear discharge and hearing difficulty. Otoscopy shows a small cent...

Question

A 4-year-old Aboriginal girl from a remote community presents with chronic bilateral ear discharge and hearing difficulty. Otoscopy shows a small central tympanic membrane perforation with mucopurulent discharge. According to otitis media guidelines for Aboriginal and Torres Strait Islander children, what is the most appropriate FIRST-LINE management?

Accepted Answer

Topical quinolone ear drops with ear cleaning for at least 2 weeks

Answer

Watchful waiting with review in 3 months

Answer

Oral amoxicillin for 5 days only

Answer

Immediate referral for tympanoplasty

Answer

Systemic corticosteroids for 7 days

au-racgp MCQ (SBA): Chronic suppurative otitis media in Aboriginal children