Should you use antibiotics to treat acute otitis media in children?
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Antibiotics are not necessary to treat uncomplicated acute otitis media (AOM) in an otherwise healthy child (strength of recommendation [SOR]: A, systematic review). Children younger than 2 years and children with bilateral infection, high fever, or vomiting may experience modest symptom relief from antibiotics (SOR: B, cohort studies).
Journal of Family Practice, 58(11) 2009: 602+.