Antibiotic treatment | Acute otitis media first line | Acute otitis media second line (treatment failure) |
No penicillin allergy | Amoxycillin | Co-amoxiclav |
Penicillin allergy | Azithromycin Erythromycin Clarithromycin | Azithromycin if erythromycin used first line or seek specialist advice from local microbiologist. |