Question

A 20-month-old Aboriginal boy from a remote community presents with a 3-month history of persistent bilateral ear discharge, hearing difficulty and delayed speech. Otoscopy shows bilateral tympanic membrane perforations with purulent discharge. This is his third presentation in 6 months. According to Australian Indigenous health and otitis media guidance, what is the most appropriate next step?

Accepted Answer

Arrange urgent ENT referral for consideration of grommets and initiate long-term oral antibiotic prophylaxis as per local protocols

Answer

Reassure and review hearing at school entry

Answer

Short course of topical decongestant drops only

Answer

Advise strict water precautions only

Answer

Delay intervention until he is at least 5 years old, as most cases resolve spontaneously

Practice question