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. 2014 Feb 28;111(9):151–160. doi: 10.3238/arztebl.2014.0151

Table. Indications for antibacterial treatment versus observation in children with uncomplicated acute otitis media (AOM)*.

Age Moderate to severe earacheTemperature ≥ 39.0 ºC or otorrhea Mild earache Temperature <39.0 ºc
<6 months Antibacterial treatment Antibacterial treatment
6 months < x < 2 years Antibacterial treatment Antibacterial treatment in bilateral AOM Observation in unilateral AOM
≥ 2 years Antibacterial treatment Observation

*Modified from (3)