Otitis media

#

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