Antibiotics Remain Primary Treatment

Acute Otitis Media: Treatment Guidelines

Antibiotics Remain Primary Treatment

Acute otitis media (AOM), commonly known as ear infection, is a prevalent childhood illness. Antibiotics have traditionally been the mainstay of treatment, effectively reducing symptoms and preventing complications. This practice is supported by the Centers for Disease Control and Prevention (CDC) and other leading health organizations.

Prescribing Strategy

In 2013, the American Academy of Pediatrics (AAP) released guidelines for antimicrobial prescribing in AOM. The strategy emphasizes the use of narrow-spectrum antibiotics, such as amoxicillin, and discourages the use of broad-spectrum antibiotics unless necessary. This approach aims to minimize the risk of antibiotic resistance.

High-dose amoxicillin (80-90 mg/kg/day) is the antibiotic of choice for treating AOM in patients who are not allergic to penicillin. In cases of penicillin allergy, alternative antibiotics such as cefuroxime or azithromycin may be prescribed.

Conclusion

Antibiotics remain the cornerstone of treatment for acute otitis media. Adherence to established prescribing guidelines helps ensure effective treatment while minimizing the risk of antibiotic resistance. By following these guidelines, healthcare providers can optimize the care of children with AOM and promote their overall health.