This is a condition in which the patient, most commonly a child, suffers form repeated episodes of acute otitis media, often entailing repeated courses of antibiotics. It can be defined as 3 or more episodes of acute otitis media in 6 months or 4 or more episodes in a year (1).
Often there is a persistent effusion in the middle ear which acts as a bacterial culture medium.
Risk factors associated with recurrent acute otitis media include (1,2):
Other foci of infection such as sinusitis should be excluded and immune deficiency should be considered. Prophylactic antibiotics, for example amoxicillin, may then be given for up to six months and grommet insertion may also be helpful. NICE has concluded that persons with recurrent acute otitis media should not be excluded from the offer of a delayed or no antibiotic prescribing strategy (3).
Prevention strategies for recurrent acute otitis media should include modification or elimination of controllable risk factors (1).
Last reviewed 01/2018