Ottitus media

Question 1

What is otitis media?

Answer 1

Acute infection of the middle ear

Question 2

When is otitis media most common?

Answer 2

6 - 12 months

Question 3

Symptoms of otitis media

Answer 3

1. Pain in ear

2. Fever

Question 4

How does the tympanic membrane look?

Answer 4

Bright red and bulging
Loss of light reflex
May be perforation or discharge

Question 5

Viral causes of otitis media

Answer 5

1. RSV

2. Rhinovirus

Question 6

Bacterial causes of otitis media

Answer 6

1. Strep pneumonia
2. Haemophilius influenza
3. Moraxella catarrhlis

Question 7

What is the prognosis for most infections?

Answer 7

Most otitis media resolve spontaneously

Question 8

What is the criteria for antibiotics to be prescribed?

Answer 8

1. Symptoms lasting more than 4 days or not improving
2. Systemically unwell but not requiring admission
3. Immunocompromise or high risk of complications secondary to significant heart, lung, kidney, liver, or neuromuscular disease
4. Younger than 2 years with bilateral otitis media
   Otitis media with perforation and/or discharge in the canal

Question 9

Which antibiotic will be prescribed?

Answer 9

Amoxicillin ( Clarithromycin/Erythromycin) for for 5 days