Case 13 - Acute Otitis Media

Question 1

Objective

Answer 1

Epidemiology in Children
Treatment
Consequences of severe infection

Question 2

Common bacterial pathogens in children causes AOM

Answer 2

Streptococcus pneumoniae, nontypeable Haemophilus influenzae,
and Moraxella catarrhalis

Question 3

Causative organisms of Swimmer’s ear

Answer 3

Pseudomonas species,
Staphyococcus aureus,
Fungus (Candida, Aspergillus species)

Question 4

Initial treatment of AOM

Answer 4

Amoxicillin

Question 5

Failure treatment on day 3 of AOM, need to change to_____

Answer 5

Augmentin ( amoxicillin - clavulanate, ceftriaxone, cefuroxime) or tympanocentesis
Administration of topical mixture of polymyxin and corticosteroids with a wick may assist in excess fluid absorption in the macerated ear canal.

Question 6

Complications of AOM

Answer 6

mastoiditis, temporal bone osteomyelitis,
facial nerve palsy, epidural and subdural abscess formation, meningitis, lateral
sinus thrombosis, and otitic hydrocephalus.
For very young children, very high risk for bacteremia or sepsis. Hospitalization and parenteral antibiotics are needed.

Question 6

Complications of AOM

Answer 6

mastoiditis, temporal bone osteomyelitis,
facial nerve palsy, epidural and subdural abscess formation, meningitis, lateral
sinus thrombosis, and otitic hydrocephalus.
For very young children, very high risk for bacteremia or sepsis. Hospitalization and parenteral antibiotics are needed.