AOM - Special Considerations
- Patients with anatomic/craniofacial abnormalities or cochlear implants are not candidates for “watchful waiting.” Recommend 10 days of antimicrobial treatment.
- Patients with immunodeficiencies may be at risk for infection with organisms not treated with amoxicillin. Management should be tailored to the patients’ specific risk factors.
These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.