Child Health  |  OME Pathway - Medical Management




Child Health

OME Pathway - Medical Management

  • Consider a single course of antibiotics of 10-14 days if the child has not had a course in the last month.
  • See Antibiotic profile for likely pathogens and sensitivities.
  • Cefaclor or Co-trimoxazole are prefable to Amoxycillin / Clavulanic Acid.
  • There is limited evidence for the use of decongestants, antihistamines or systemic steriods in OME.
  • Intranasal steriods may be of use in children over 5 years with a history fo allergic rhnitis.
  • Advise a non- smoking environment smoking cessation.
  • Advise more upright nursing for breast and bottlefed infants with OME.
  • Advise daily nose blowing in older children.
  • Suggest simulated valsalva manoevures in older children such as blowing up balloons. 


Last updated : Thursday, May 18, 2017
Next review date : Friday, May 18,2018


Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.