Acute otitis media: Difference between revisions
(Created page with "* Acute (suppurative) otitis media ** Epidemiology *** Infants *** Small children *** 80% by 3 years of age ** Etiology *** Bacterial superinfection (on viral <abbr>URTI</abbr>) which ascends through eustachian tube *** S. pneumoniae *** H. influenzae ** Risk factors *** Previous AOM *** Chronic otitis media *** Parental smoking ** Protective factors *** Prolonged breastfeeding *** Pneumococcal vaccine ** Clinical features *** Ear pain **** Infants repeatedly touch the e...") |
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Revision as of 14:25, 23 November 2023
- Acute (suppurative) otitis media
- Epidemiology
- Infants
- Small children
- 80% by 3 years of age
- Etiology
- Bacterial superinfection (on viral URTI) which ascends through eustachian tube
- S. pneumoniae
- H. influenzae
- Risk factors
- Previous AOM
- Chronic otitis media
- Parental smoking
- Protective factors
- Prolonged breastfeeding
- Pneumococcal vaccine
- Clinical features
- Ear pain
- Infants repeatedly touch the ear
- Fever
- Discharge from ear
- Only if there is spontaneous tympanic perforation
- Conductive hearing loss
- Ear pain
- Diagnosis
- Early: Retracted, hypomobile tympanic membrane
- Then: Bulging tympanic membrane
- Due to accumulation of pus
- Loss of light reflex
- Treatment
- NSAIDs
- Not decongestants! – prolong course
- Antibiotics
- Only in < 2 years, or > 2 years if bilateral, no resolution in 2 days
- Amoxicillin
- Clavulanic acid added if treatment failure
- Epidemiology