Otitis Media Flashcards
Gender with greatest incidence of OM?
Males
Seasons for OM?
Winter and early spring
Populations with highest rates of OM?
Alaskan, American, Indigenous Australians
Top three bugs of OM
- H. influenzae (non-typable)
- Strep pneumoniae
- Moraxella caterhallis
What typically precedes OM?
URI
Term for pus from ears?
Ottorhea
What OM causing bug typically also causes conjunctivitis?
H. Influenzae
OM that has fever, what should you suspect first?
Pneumococcal infection
What bug should you suspect if PT has bilateral OM?
H. influenzae
If PT has mastoiditis or membrane perforation, what should you suspect?
Group A strep
What is tympanometry
Test the middle ear by changing air pressures
Criteria for AOM?
- Acute history (URI)
- Bulging TM (effusion)
- Signs and symptoms (fever)
Main treatment for AOM?
Amoxicillin → Augmentin • Cephalosporins • Macrolides • E-micin • Bactrim
Main treatment for AOM?
Amoxicillin → Augmentin • Cephalosporins • Macrolides • E-micin • Bactrim
What do you use for AOM prophylaxis?
Half dose of amoxicillin or sulfisoxasole