A 3 year old boy has had frequent episodes of acute otitis media.

Question Number 0734

Question:
A 3 year old boy has had frequent episodes of acute otitis media. After developing 3 new episodes during the past 6 months, he was placed on antibiotic prophylaxis. However, he has had 2 additional episodes while on 3 months of prophylaxis. The physician is concerned about possible antibiotic resistance. The most appropriate management would be:

a) radical mastoidectomy
b) tympanometry
c) topical neomycin
d) trimethoprim/sulfamethoxazole
e) oral pseudoephedrine hydrochloride


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