Spectrum: Local Antimicrobial Stewardship, for Fraser Health

Acute Otitis Media

Likely Pathogens

H. influenzae

S. pneumoniae

M. catarrhalis

Empiric Antibiotic Options

Amoxicillin 40 to 45 mg/kg PO BID

Penicillin Allergy*

Cefuroxime 15 mg/kg PO BID

OR

Clarithromycin 7.5 mg/kg PO BID

*Avoid all beta-lactams antibiotics (ie cephalosporins, carbapenems) if anaphylaxis to penicillin