A child who was treated with amoxicillin and then amoxicillin-clavulanate for acute otitis media (OTM) is seen for follow-up. The primary care pediatric nurse practitioner notes dull-gray tympanic membranes with a visible air-fluid level. The child is afebrile and without pain. What is the next course of action?

Question

Quizplus · Accepted Answer

Monitoring ear fluid levels for 3 months is the appropriate next step for a child who is afebrile, without pain, and has a history of acute otitis media (OTM) treatment, showing signs of otitis media with effusion (OME) at follow-up. This approach is recommended as OME can resolve on its own without further antibiotic treatment.

A Child Who Was Treated with Amoxicillin and Then Amoxicillin-Clavulanate