By vgreene, 26 May, 2015 For pts meeting dx criteria,<sup>9,10</sup> otalgia tx if needed, plus either observe w/ close F/U or abx:
By vgreene, 26 May, 2015 If amox in 30 days or hx amox-unresponsive recurrence or purulent conjunctivitis: amoxicillin/clavulanate 90/6.4 mg/kg/day PO bid x10 days [C/R]
By vgreene, 26 May, 2015 If no amox in 30 days, no hx amox-unresponsive recurrence, no purulent conjunctivitis: amoxicillin 80-90 mg/kg/day PO bid x10 days [B/R]
By vgreene, 26 May, 2015 Observation: joint decision w/ caregiver; mechanism to ensure F/U + begin abx if worsens/fails to improve w/in 48-72 h of sx onset
By vgreene, 26 May, 2015 Prevention:<sup>8</sup> pneumococcal conjugate vaccination [B/SR] & annual influenza vaccination [B/R] per AAP schedule, exclusive breastfeeding for 1st 6 mo of life [B/R], avoidance of tobacco smoke [C/R].
