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Lesson 8 of8
In Progress

Follow up

Jimmy October 26, 2021

Patients should be seen in 48 to 72 hours to assess for changes in the condition and action can proceed with the corresponding management:

  • For children treated with observation, ensure follow-up and begin antibiotic therapy if symptoms worsen or fails to improve
  • For children treated with antibiotics, reassess for reports on symptoms and if the therapy has failed to determine if a change in treatment course is needed

Children who improve can be followed up in 8 to 12 weeks to ensure complete resolution of any residual effusion and other long-standing symptoms. Middle ear effusion persists 60-70% at 2 weeks, 40% at 1 month, and 10-25% at 3 months after successful antibiotic therapy.

Patients with complications need ear, nose, and throat (ENT) referral.