What is the first-line treatment for otitis media?

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What is the first-line treatment for otitis media?

Amoxicillin at a dosage of 80 to 90 mg per kg per day should be the first-line antibiotic for most children with acute otitis media. Patients with otitis media who fail to respond to the initial treatment option within 48 to 72 hours should be reassessed to confirm the diagnosis.

What is the treatment for otitis media in adults?

TREATMENT OF ACUTE OTITIS MEDIA Antibiotics are the mainstay of treatment of uncomplicated acute otitis media (AOM) in adults, and initial antibiotic choice is determined by knowledge of the most common causative pathogens.

What medications treat otitis media?

Amoxicillin is the first-line drug for otitis media. Effective second-line drugs for resistant beta-lactamase-producing bacterial strains include trimethoprim-sulfamethoxazole, erythromycin-sulfisoxazole, cefaclor, cefuroxime axetil and cefixime.

When are antibiotics used for otitis media?

Antibiotics should be promptly provided if the child’s infection worsens or fails to improve within 24 to 48 hours. Guidelines and most ongoing studies support these recommendations.

What is the most common antibiotic for ear infection?

Antibiotics. Penicillin is the most commonly prescribed medication for treating ear infections. Penicillin antibiotics are typically prescribed by doctors after waiting to see if the infection clears on its own. The most commonly prescribed penicillin antibiotic is amoxicillin.

Is azithromycin good for ear infection?

The macrolide antibiotic azithromycin is an option for the treatment of AOM due to its in vitro activity against the most common upper respiratory tract pathogens, including S. pneumoniae, H. influenzae, and Moraxella catarrhalis. Azithromycin achieves good concentrations in middle ear fluid.

Will azithromycin treat otitis media?

From the present systematic review and meta-analysis, it can be concluded that the efficacy of azithromycin is comparable to amoxicillin/clavulanate, and it is safer and more tolerable by children. Azithromycin can, also be considered a drug of choice in treatment of otitis media on children.