Abstract
Answer B. Provide safety-netting advice and review in 72 hours if not improving
This case describes acute otitis media (AOM). Oral antibiotics provide little additional benefit, but a back-up prescription can be given. In any case, amoxicillin would be the antibiotic of choice (unless there was a history of an allergy). Topical drops are not indicated. Urgent referral would only be warranted if there were signs of complications like mastoiditis. Safety netting for review is appropriate.
InnovAiT article: Otorrhoea – the discharging ear. DOI: 10.1177/17557380241228769.