EAR ACHE - Common Patterns Pediatric

1)      Otitis Externa – Topical antibiotic drops or if severe infection oral cloxacillin for 7 days or erythromycin if penicillin allergic (National Guideline Clearing House – Use of Antibiotics in Pediatric Care)

2)      Acute Otitis Media – Tx Amoxycillin 50 mg/kg/day divided doses 8 hourly for 7 days.  If no response 72 hrs later use high doses of amoxycillin+clavulanate (amoxicillin 50 mg/kg/day + clavulanate 7 mg/kg/day  in divided doses 12 hourly for 7-10 days) OR cefuroxime 15-30 mg /kg/day in divided doses 12 hrly, and if penicillin allergic erythromycin (50 mg/kg/day in divided doses 6-8 hourly for 10 days) or cotrimoxazole (Trimethoprim 8 mg/kg/day plus Sulphamethoxazole 40 mg/kg/day in divided doses 12 hourly  for 7-8 hrs) 

» SYMPTOM, SIGNS, SYNDROMES GLOSSARY