Alyssa is a 15 month old who has been on amoxicillin for 2 days for acute otitis media.She is still febrile and there is no change in her tympanic membrane examination.What would be the plan of care for her?

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Quizplus · Accepted Answer

Since there has been no improvement in Alyssa's symptoms after two days of treatment, changing the antibiotic to amoxicillin/clavulanate (augmentin) would be the best choice as it has a broader spectrum of coverage against the most common bacteria that cause acute otitis media. It is also recommended by the American Academy of Pediatrics for children who fail to improve on amoxicillin alone. Continuing the amoxicillin alone is not likely to be effective, changing to azithromycin or trimethoprim/sulfamethoxazole may be considered, but amoxicillin/clavulanate would be the best choice due to its effectiveness and safety profile.

Alyssa Is a 15 Month Old Who Has Been on Amoxicillin