Acute infection and inflammation of the middle ear. Common symptoms include ear pain and difficulty hearing. Common bacterial etiologies include S. pneumoniae, H. influenzae, M. catarrhalis, S. aureus, Group A Streptococcus sp.
|Preferred antibiotic choice(s)|
|Amoxicillin (PO)||Powder for oral liquid: 125 mg (as trihydrate)/5 mL; 250 mg (as trihydrate)/5 mL; Solid oral dosage form: 250 mg; 500 mg (as trihydrate)||500 mg 8 hourly||5 days|
|Alternative antibiotic choice(s)A|
|Amoxicillin + clavulanic acid (PO)||Oral liquid: 125 mg amoxicillin + 31.25 mg clavulanic acid/5 mL AND 250 mg amoxicillin + 62.5 mg clavulanic acid/5 mL; Tablet: 500 mg (as trihydrate) + 125 mg (as potassium salt)||500 mg of amoxicillin component 12 hourly||5 days|
|In case of confirmed drug allergy or medical contraindication|
|Azithromycin (PO)||Capsule: 250 mg; 500 mg (anhydrous); Oral liquid: 200 mg/5 mL||500 mg daily||3 days|
A. If patient has received antibiotics in the past month, use amoxicillin-clavulanic acid in preference to amoxicillin.