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Basic Otitis Media

causes of AOM strep. pneumonia, H-flu, Moraxella catarrhalis
Viral causes of AOM RSV, adenovirus, influenza A and B
percent of AOM that resolve on their own 80%
First line therapy Amoxicillin; if treatment fails then Augmentin
Criteria for 10 days of antibiotics less then 2 years old, immunosupressed, cranial-facial abnormalities
when antibiotics would be indicated for OME persists for more then 3 months
criteria for "watch and wait" ready means of communication, system to re-evaluate in 48-72 hours, ability to obtain medication in a timely matter if treatment failure occurs
Amoxicillin and clavulanate augmentin
If PCN allergy cephalosporin, macrolide
persistent OM AOM that persists past 6 days of antimicrobial therapy or that recurs within a few days after treatment is discontinued
recurrent OM 3 episodes within 6 months or 4 episodes within 12 months
safety net antibiotic prescription amox. script to be filled if symptoms do not improve in 48-72 hours, should have experation date of 5 days
Created by: mykidsmom1204