When is tympanocentesis indicated in the workup of acute otitis media (AOM)?

Updated: Sep 25, 2019
  • Author: John D Donaldson, MD, FRCSC, FACS; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Tympanocentesis should be performed in the following AOM patients:

  • Neonates who are younger than 6 weeks (and therefore are more likely to have an unusual or more invasive pathogen)

  • Patients who are immunosuppressed or immunocompromised

  • Patients in whom adequate antimicrobial treatment has failed and who continue to show signs of local or systemic sepsis

  • Patients who have a complication that requires a culture for adequate therapy

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