This page was printed from the South & West Devon Formulary and Referral site at
Please ensure you are using the current version of this document
This guidance covers suspected otitis media with effusion (OME) in children.
Refer these patients to secondary care:
OME present for more than 6 weeks and developmentally under 4 years
OME present for more than 6 weeks and developmentally 4 years or older
History of acute otitis media
1 Scottish Intercollegiate Guidelines Network (SIGN). Diagnosis and management of childhood otitis media in primary care. A national clinical guideline. SIGN publication no. 66. Edinburgh: SIGN; 2003.
5 Cincinnati Children's Hospital Medical Center. Evidence based clinical practice guideline for medical management of acute otitis media in children 2 months to 13 years of age. Cincinnati, OH: CincinnatiChildren's Hospital Medical Center; 2005.
7 National Institute for Health and Clinical Excellence (NICE). Respiratory tract infections – antibiotic prescribing. Prescribing antibiotics for self-limiting respiratory tract infections in adults and children in primary care. Clinical guideline 69. London: NICE; 2008.
8 National Institute for Health and Clinical Excellence (NICE). Feverish illness in children. Assessment and initial management in children younger than 5 years. Clinical guideline 47. London: NICE; 2007.
12 Spurling G. Delayed antibiotics for respiratory infections. Cochrane Acute Respiratory Infections Group; 2010.
14 Voloumanou EK, Karageorgopoulos DE, Kazantzi MS et al. Antibiotics versus placebo or watchful waiting for acute otitis media: a meta-analysis of randomized controlled trials: CRD summary. 2010.
17 Gulani A, Sachdev HP, Qazi SA. Efficacy of short course (4 days) of antibiotics for treatment of acute otitis media in children: a systematic review of randomized controlled trials. Indian Pediatr 2010; 47: 74-87.
This guideline has been signed off by the Western Locality on behalf of NEW Devon CCG.
Publication date: March 2016
Reviewed & Updated: November 2020