A 20-month-old boy has had two days of fever and disturbed sleep, waking crying and pulling at both ears. His…

Question

A 20-month-old boy has had two days of fever and disturbed sleep, waking crying and pulling at both ears. His temperature is 38.9 degrees Celsius. Both tympanic membranes are bulging and opaque, with no discharge. He is alert, drinking well and playing in the cubicle. He is not an Aboriginal or Torres Strait Islander child, has no significant medical history and no drug allergies, and his mother can readily return for review. Which one of the following is the most appropriate treatment?

Accepted Answer

Amoxicillin 15 mg/kg orally, 8-hourly for 5 days

Answer

Amoxicillin+clavulanate 22.5+3.2 mg/kg orally, 12-hourly

Answer

Cefuroxime 15 mg/kg orally, 12-hourly for 5 days

Answer

Ciprofloxacin 0.3% ear drops, 12-hourly for 7 days

Answer

Regular paracetamol with review in 48 to 72 hours

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