שאלה משלב א׳ בא.א.ג וכירורגיה של ראש וצוואר · מועד 2025, שאלה 64

The treatment ladder for acute otitis media in a child without drug allergy is high-dose AMOXICILLIN (80-90 mg/kg/day) first, then AMOXICILLIN-CLAVULANATE (Augmentin) for failure or risk factors, then intramuscular/intravenous CEFTRIAXONE (Rocephin). Macrolides (azithromycin) are second-line and inadequate against resistant pneumococcus and Haemophilus, penicillin G and metronidazole have no place, and watchful waiting with analgesia is appropriate in mild unilateral disease over 2 years of age.