- Streptococcus pneumoniae (~30–40%)
- Haemophilus influenzae (~20–30%)
- Moraxella catarrhalis (~10–20%)
First-line therapy
Amoxicillin • p.o. • 80–90 mg/kg/day • 2×/day
Max 4000 mg/day · Duration: 5–10 days
Enter weight on Kids to calculate doses
Amoxicillin/clavulanate • p.o. • 80–90 mg/kg/day • 2×/day
Dose is calculated using the amoxicillin component.
Max 4000 mg/day · Duration: 5–10 days
- • Amoxicillin during previous 30 days
- • Purulent conjunctivitis
- • Recurrent disease
- • Suspected beta-lactamase organisms
Enter weight on Kids to calculate doses
Clinical notes
- • Reassess after 48–72 hours if no improvement.
- • High-dose amoxicillin is recommended.
- • Topical antibiotics only in selected situations.
- • Tympanostomy tubes may change management.
- • AAP Clinical Practice Guideline (2025)
- • ESPID Guideline (2024)
- • NICE NG91 (2023)
+ 1 more
- • Red Book — AOM Management (2024)
