Infectious Diseases

Question 1

Otitis Media:

1. NNT to prevent ear pain
2. NNT to prevent perforation
3. When to treat with abs?
4. Abx dose

Answer 1

1. 22
2. 30
3. If Bilateral OM, Otorrhoea, <6 months, Indigenous, Trisomy 21 or other
4. Higher doses 90-100mg/kg

Question 2

Scores for sore throat and reference

Answer 2

temp>38
no cough 
tender anterior cervical LN
tonsils swelling or exudate
age 3-14yrs, 
age 15-44 yrs

Question 3

Pneumococcal (resistance present therefore which Abx to add)

1. Meningitis
2. Pneumonia
3. Otits media

Answer 3

1. Vancomycin &Cephalosporin 3rd Generation
2. Pencillin, Cefotaxime
3. Higher doses of Amox