Complications and Prevention

Complications are rare and are usually only seen in the following cases:

• Highly virulent bacteria (e.g., Group A ß-hemolytic streptococci)

• Immunocompromised patients

• Inadequate dose/duration of antibiotics

• Bacterial drug resistance

• Mastoiditis

• Bacterial labyrinthitis

• Peripheral facial palsy

• Otogenic abscess

• Meningitis

• Cerebral venous thrombosis

https://next.amboss.com/us/article/Mj0MaT?q=otitis%20media#Zbaf62b3f0ef4064ca2e6087d86fa0801

• Recommend:

  • Exclusive breastfeeding for at least 6 months

  • Smoking cessation for caregivers

• Advise limiting pacifier use and avoiding supine bottle feeding.

• Encourage adherence to the ACIP immunization schedule.

!Day care attendance is associated with an increased risk of AOM!