What are the treatment options for recurrent acute otitis media (AOM)?

Updated: Sep 25, 2019
  • Author: John D Donaldson, MD, FRCSC, FACS; Chief Editor: Arlen D Meyers, MD, MBA  more...
  • Print
Answer

Children with recurrent AOM have no effusion within the middle ear cleft between attacks of acute disease. Management of this condition is confined to either episodic management or preventive treatment.

In episodic management, each episode is considered a new attack and is treated with antibiotics; the patient is monitored until the episode resolves. Preventative treatment involves the administration of a conjugated heptavalent pneumococcal vaccine. Although the vaccine is intended to combat invasive effects in infants, immunized children have a reduced incidence of AOM, a reduced need for antibiotic therapy or tympanostomy tubes, and a reduced risk of invasion or hearing loss. [28]


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!