From: pautrey on
Do children with otitis media need antibiotics?

May 18 2010

I have been told that pediatricians now state that most cases of
otitis media in children are viral in origin and do not require
antibiotic treatment. If this is true, what treatment do you
recommend? Watch and wait? Does the same approach apply to adults?—
JOSEPH CAMIRE, DO, West Plains, Mo.

You have been told correctly. In 2004, the American Academy of
Pediatrics and the American Academy of Family Physicians published
joint clinical practice guidelines for the diagnosis and management of
acute otitis media (Pediatrics. 2004;113:1451-1465). The recommended
treatment for children older than age two years is pain management and
observation (unless the patient is severely ill). Such oral analgesics
as acetaminophen or ibuprofen are most effective. A topical anesthetic
like benzocaine is another option and can be used alone or in
conjunction with oral analgesics.—Julee B. Waldrop, MS, PNP (139-4)

From the May 2010 Issue of Clinical Advisor