Table 2

 Recommended antibiotics for uncomplicated otitis media

Antibiotic treatmentAcute otitis media first lineAcute otitis media second line (treatment failure)
No penicillin allergyAmoxycillinCo-amoxiclav
Penicillin allergyAzithromycin Erythromycin ClarithromycinAzithromycin if erythromycin used first line or seek specialist advice from local microbiologist.