Acute otitis media in adults
EBM Guidelines
Dec 14, 2023 • Latest change Mar 18, 2025
Table of contents
Extract
- Eustachian tube dysfunction caused by an upper respiratory infection is the usual cause.
- Barotrauma (e.g. during diving) Middle ear barotrauma (ear problems associated with an increase in atmospheric pressure)1 leads to serous otitis media where sterile secretion is found in the middle ear.
- If middle ear infection becomes prolonged, the patient should be referred to an ENT specialist for diagnosing predisposing diseases and for removing middle ear discharge to improve hearing.
- The first-line drug treatment for purulent acute otitis media is amoxicillin.
Search terms
Amoxicillin, Barotrauma, H65, H66, Infectious diseases, Otitis Media, Otorhinolaryngology, Paracentesis, Penicillin V, Tympanic Membrane, antimicrobial therapy, serous otitis