#
1. more common in children
if <6 m/o or 6 m/o-2 y/o with severe disease or >2 y/o with otorrhea and severe ⇒ immediately start treatment. otherwise, can wait for 2 days. if the pt did not got better, start treatment.
2. Treatment
1. Anti biotics
1. Syrup amoxicillin 250 mg/5cc bid #1 90mg/kg/day
2. or syrup Farmenting (co-amoxiclav) 643 bid #1 weight/3 cc
3. or Tab co-amoxiclav 625mg tds #30
4. If penicillin hypersensitivity or no cure after 24-48 hours
1. Amp ceftriaxone 1gr IM #3 qd for 3 days 50mg/kg
2. or Syrup azithromycin 100mg #1 weight/2 stat then weight/4 for 4 days
2. Irrigation
1. Serum N/S 500 cc for irrigation #1
3. Pain killer
1. Susp acetaminophen 120 mg/5cc weight/2 cc qid #1
Leave a Reply