URTI CPG Booklet_consensus (English - pdf - 762 Kb) - MSO-HNS

Management AlgorithmChild aged 2 months – 12 years with uncomplicated AOMIs pain present?YesNoTreatment toreduce painIs observation anappropriate initialtreatment option? *NoDoes thechildhave fever >39 º Cand/or moderateor severe otalgiaNoAmoxicillinat a dose of80-90mg/kg/day is the initialantibacterial ofchoice for mostchildrenYesYesObserved for 48 to 72 hourswith assurance of appropriatefollow-upManage appropriately withantibacterial therapy.(See Table 3)Did patient respondto initial treatmentintervention (eitherantibacterial treatment orobservation)?Yesfollow-up asappropriateNoReassess andconfirmsdiagnosis ofAOMIs diagnosis ofAOM confirmed?YesNoAssess for othercauses of illnessand manageappropratielyInitiate antibacterial treatment for children initiallymanaged with observation or change antibacterialtreatment for patients initially managed withantibacterial therapy. (See Table 3)17