AOM - complicated

  • mastoiditis
  • vertigo
  • facial paralysis

- ENT consult with tympanocentesis +/- more extensive drainage required.

- Infectious Diseases consult is strongly recommended.

 
Usual Pathogens

S. pneumoniae
Moraxella catarrhalis
H. influenzae

 
Occasionally:

Group A Strep
S. aureus

 

Early/mild

Empiric Therapy Dose Duration
Cefuroxime 150mg/kg/d IV div q8h ≥ 14 days

Moderate-severe

Empiric Therapy Dose Duration
Ceftriaxone 100mg/kg IV daily ≥ 14 days