Basic Otitis Media
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| causes of AOM | strep. pneumonia, H-flu, Moraxella catarrhalis
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| Viral causes of AOM | RSV, adenovirus, influenza A and B
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| percent of AOM that resolve on their own | 80%
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| First line therapy | Amoxicillin; if treatment fails then Augmentin
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| Criteria for 10 days of antibiotics | less then 2 years old, immunosupressed, cranial-facial abnormalities
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| when antibiotics would be indicated for OME | persists for more then 3 months
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| 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
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| Amoxicillin and clavulanate | augmentin
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| If PCN allergy | cephalosporin, macrolide
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| persistent OM | AOM that persists past 6 days of antimicrobial therapy or that recurs within a few days after treatment is discontinued
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| recurrent OM | 3 episodes within 6 months or 4 episodes within 12 months
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| 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
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