1. Primarily, in the treatment of pain, an application of local dry warm compresses on the affected ear is recommended.
2. Paracetamol is also recommended for pain relief purposes, in the appropriate dose for the age, and according to the child’s body weight.
The advice is not to administer antibiotics in the treatment of acute otitis media in the first 48 to 72 hours of the disease, but only to observe the child’s condition, because:
- in 70%-90% spontaneous healing occurs within 7-14 days for first-time OMA and sporadic OMA
- early use of antibiotics provides relief of symptoms after 24 hours, when they disappear spontaneously, and the incidence of diarrhea in children increases by 10%.
After monitoring the child, if there is no improvement, there are signs of fever and/or increased ear pain, ear leakage or the doctor decides to start antibiotic therapy immediately, the antibiotic of choice is amoxicillin at a dose of 80-90 mg/kg TM divided into three doses.
The optimal duration of antibiotic therapy is not precisely determined and ranges according to the author’s recommendations from 5 to 10 days.
Source: OTITIS MEDIA National Guide for Physicians in Primary Health Care, November, 2004
Complications of acute otitis media are fortunately not so common, but they include mastoiditis (inflammation of the mastoid air cavities, which are an integral part of the temporal bone), meningitis, damage to the hearing apparatus and other.