Referral criteria from primary care - suppurative OM
Indications for referral include: (1)
five episodes of acute otitis media over the winter months, or six episodes in a year
- uncertainty about the diagnosis
- acute otitis media associated with serous otitis media which has not responded to medical therapy
- immediate referral for specialist review is required if complications such as mastoiditis or facial paralysis
Referral may be advisable in persons with craniofacial abnormalities.
Reference:
- Marchisio P, Galli L, Bortone B, et al; Updated Guidelines for the Management of Acute Otitis Media in Children by the Italian Society of Pediatrics: Treatment. Pediatr Infect Dis J. 2019 Dec;38(12S Suppl):S10-S21.
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