What is the basis of antibiotic selection in the treatment 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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Answer

In the absence of culture results obtained from tympanocentesis, selection of an antibiotic should have the following 2 objectives:

  • The antibiotic should cover most of the common bacterial pathogens (see Etiology)

  • The antibiotic must be individualized for the child with regard to allergy, tolerance, previous exposure to antibiotics, cost, and community resistance levels


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