Otitis Media: The Daily PANCE Blueprint
Which of the following is the preferred initial treatment for acute otitis media in a 5-year-old with no previous history of otitis media nor risk factors for resistance bacteria?
A. Amoxicillin
B. Ceftriaxone
C. Azithromycin
D. Levofloxacin
E. Augmentin
Answer and topic summary
The answer is A. Amoxicillin
Otitis media is defined by inflammation of the medial ear, it can be acute or chronic. Acute otitis media (AOM) is common in children; in fact, about 80% of children have had at least 1 episode of AOM by age 3. Etiologies include bacterial (most commonly S. pneumoniae) or viral (e.g., RSV, influenza, rhinovirus, and adenovirus). There is a strong genetic component. Risk factors include age, routine daycare, low SES, smoke exposure, and underlying ENT disease. Clinical features include otalgia, decreased eardrum mobility, bulging of the tympanic membrane, otorrhea, restlessness, poor appetite, and tugging at the ear. The preferred initial treatment is amoxicillin. Alternatives include Augmentin, cefdinir, azithromycin, etc.
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Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint EENT ⇒ ⇒
Also covered under Pediatrics EOR, Family Medicine EOR, and Emergency Medicine EOR topic list
