Do children with otitis media need antibiotics?
You have been told correctly. In 2004, the American Academy of Pediatrics and the American Academy of Family Physicians published joint clinical practice guidelines for the diagnosis and management of acute otitis media (Pediatrics. 2004;113:1451-1465). The recommended treatment for children older than age two years is pain management and observation (unless the patient is severely ill). Such oral analgesics as acetaminophen or ibuprofen are most effective. A topical anesthetic like benzocaine is another option and can be used alone or in conjunction with oral analgesics.—Julee B. Waldrop, MS, PNP (139-4)