The diagnosis of acute otitis media is based on the presence of middle-ear effusion, signs of inflammation of the tympanic membrane, and signs and symptoms of an acute infection. Effective treatment of ear pain is crucial in the management of the disease. Antibiotic treatment for 5–7 days with amoxicillin or amoxicillin/clavulanate is recommended as a rule, because antibiotics shorten the time to resolution of illness, and no individually applicable criteria to guide antibiotic use are available. The follow-up of children with acute otitis media should be tailored individually.
Terho Heikkinen (Chair)
Tanja Laukkala (Current Care editor)