High-dose amoxicillin (80 to 90 mg per kg per day in two divided doses) is the first choice for initial antibiotic therapy in children with AOM. Children with middle ear effusion and anatomic damage or evidence of hearing loss or language delay should be referred to an otolaryngologist. AOM = acute otitis media.Advertisement<< PreviousarticleNextarticle >>Oct1,2013Issue  OtitisMedia:DiagnosisandTreatment Amorerecentarticleonotitismediaisavailable.Thisisacorrectedversionofthearticlethatappearedinprint.KATHRYNM.HARMES,MD;R.ALEXANDERBLACKWOOD,MD,PhD;HEATHERL.BURROWS,MD,PhD;JAMESM.COOKE,MD;R.VANHARRISON,PhD;andPETERP.PASSAMANI,MDUniversityofMichiganMedicalSchool,AnnArbor,MichiganAmFamPhysician. 2013 Oct 1;88(7):435-440. Relatededitorials:ShouldChildrenwithAcuteOtitisMediaRoutinelyBeTreatedwithAntibiotics?Yes:RoutineTreatmentMakesSenseforSymptomatic,Emotional,andEconomicReasonsandNo:MostChildrenOlderThanTwoYearsDoNotRequireAntibiotics Patientinformation:Ahandoutonotitismediaisavailableathttps://familydoctor.org/familydoctor/en/diseases-conditions/ear-infections/treatment.html.ThisclinicalcontentconformstoAAFPcriteriaforcontinuingmedicaleducation(CME).SeetheCMEQuiz.Authordisclosure:Norelevantfinancialaffiliations.AbstractEtiologyandRiskFactorsDiagnosisManagementofAcuteOtitisMediaManagementofOMETympanostomyTubePlacementSpecialPopulationsReferencesArticleSectionsAbstractEtiologyandRiskFactorsDiagnosisManagementofAcuteOtitisMediaManagementofOMETympanostomyTubePlacementSpecialPopulationsReferencesAcuteotitismediaisdiagnosedinpatientswithacuteonset,presenceofmiddleeareffusion,physicalevidenceofmiddleearinflammation,andsymptomssuchaspain,irritability,orfever.Acuteotitismediaisusuallyacomplicationofeustachiantubedysfunctionthatoccursduringaviralupperrespiratorytractinfection.Streptococcuspneumoniae,Haemophilusinfluenzae,andMoraxellacatarrhalisarethemostcommonorganismsisolatedfrommiddleearfluid.Managementofacuteotitismediashouldbeginwithadequateanalgesia.Antibiotictherapycanbedef