Paediatrics - Queensland Health - Queensland Government
Paediatrics - Queensland Health - Queensland Government
Paediatrics - Queensland Health - Queensland Government
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Ear problems<br />
5. Follow up<br />
Children < 5 years of age, review and treat daily for 7 days. If not drying in older<br />
children consider daily treatment in the clinic. Suction under direct vision is very<br />
useful to clear the ear if clinics have the equipment and staff have experience and<br />
training<br />
If not improving consult MO<br />
Teach patient / carer cleaning technique and instillation of drops<br />
See next MO clinic<br />
Review weekly thereafter until ear is dry<br />
If the ear is still discharging, consult MO<br />
When the ear dries review at 3 months<br />
To prevent recurrent otitis media encourage personal hygiene in children - washing<br />
hands and face<br />
Breathe Blow Cough (BBC) program is targeted at school aged children<br />
6. Referral / consultation<br />
For hearing assessment - audiometry and tympanometry when ear dry<br />
With education staff<br />
Consult MO as above including a presentation with perforation in the upper drum<br />
(attic). Note unsafe perforation attic retraction or suspicion of cholestoma will<br />
need urgent referral to ENT<br />
Refer to ENT specialist:<br />
-- if ear continues to discharge for 4 months<br />
-- unsafe perforation<br />
Primary Clinical Care Manual 2011 Controlled copy V 1.0 593
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