Module 9 Part 2 Antibiotics and Acute Otitis Media Flashcards
What is watchful waiting in the context of acute otitis media?
Watchful waiting is the practice of delaying antibiotic therapy for 48-72 hours in previously healthy children with acute otitis media to allow time for potential spontaneous recovery.
Why is watchful waiting considered for acute otitis media?
Watchful waiting is considered because acute otitis media often resolves spontaneously, and it reduces the risks associated with frequent antibiotic use.
What are the key considerations for children over 2 years old during watchful waiting?
During watchful waiting, provide analgesics like acetaminophen or ibuprofen for 2-3 days to treat ear pain. Parents should seek medical reassessment if symptoms worsen or new symptoms appear. If symptoms persist after 2-3 days, the diagnosis should be verified, and antibiotic therapy may be initiated.
When is watchful waiting appropriate for children between 6 months and 2 years old?
Watchful waiting is appropriate if parents can observe their child for 48-72 hours with assured medical follow-up.
How should infants under 6 months old with suspected acute otitis media be managed?
Accurate diagnosis is important, and watchful waiting is not recommended for infants if the condition is reasonably certain. Giving antibiotics for uncertain indications is not appropriate, and the recommended duration of antibiotic therapy is 10 days.
