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Otitis media

  • Tx

    • Amoxicillin 40-50 mg/kg PO given bid (or 30 mg/kg tid) x 10 days
    • Second line antibiotics
      • Augmentin 40-50mg/kg bid
      • Cefpodoxime 5 mg/kg PO bid
      • Cefuroxime axetil 15 mg/kg bid
      • Cefdinir 7 mg/kg PO qday or bid
      • Ceftriaxone 50 mg/kg IM for 3 daily doses
    • If pen allergy: Azithromycin 10 mg/kg PO on day 1 followed by 5 mg/kg PO for 4 more days
    • Analgesics
      • topical benzocaine-antipyrene
      • Acetaminophen 15 mg/kg
      • Ibuprofen 10 mg/kg
  • Labs

    • CT if suspect mastoiditis
    • blood culture for infants < 60 days
  • Px

    • TM bulging, erythematous
  • Pathogens

    • strep pneumo (most common)
    • H flu (second)
    • moraxella catarrhalis

  • Print | Citations

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