Acute otitis media in adults

EBM Guidelines
Dec 14, 2023 • Latest change Mar 18, 2025
Lena Hafrén

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.

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Amoxicillin, Barotrauma, H65, H66, Infectious diseases, Otitis Media, Otorhinolaryngology, Paracentesis, Penicillin V, Tympanic Membrane, antimicrobial therapy, serous otitis