Question

A 2-year-old Aboriginal boy living in a remote community has persistent bilateral otitis media with effusion and documented conductive hearing loss on screening. According to the 2020 Otitis Media Guidelines for Aboriginal and Torres Strait Islander children, which action is most appropriate?

Accepted Answer

Arrange timely referral for audiology and ENT assessment for possible grommet insertion

Answer

Reassure and review hearing in 12 months

Answer

Start repeated short courses of oral amoxicillin for every upper respiratory tract infection

Answer

Prescribe long-term oral macrolide prophylaxis without specialist input

Answer

No intervention is required if speech appears normal

Practice question

A 2-year-old Aboriginal boy living in a remote community has persistent bilateral otitis media with effusion and documented conductive hearing loss on screening. According to the 2020 Otitis Media Guidelines for Aboriginal and Torres Strait Islander children, which action is most appropriate?