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Guidelines
Pathogens
Antimicrobials
Signs and Symptoms
Cloudy yellow fluid in the middle ear
Bulging membrane
Reduced TM mobility
Onset of new pain in the last 48 hours
Nonverbal Children
Excessive crying
Fever
Changes in sleep or behavior patterns
Moderate to severe otalgia
Fever ≥ 39°C (102.2°F)
Age < 6 months
None of the above