The Acute Otitis Media CPG has been updated by the CPG Committee.

The Key points for the CPG are

1. Do not accept otitis media as the sole diagnosis in a sick febrile young child without exclusion of more serious causes (see Febrile child)
2. Diagnosis requires acute onset and an abnormal ear examination with signs of middle ear inflammation and middle ear effusion
3. Avoid the routine use of antibiotic treatment for acute otitis media