Acute Otitis Media Severity (AOM-SOS)
Grades acute otitis media severity to guide antibiotic prescribing vs watchful waiting in children and adults.
Score interpretation
→ Analgesics (paracetamol, ibuprofen); watchful waiting 48-72h; back-up antibiotic prescription to use if no improvement; review if worsens
→ Amoxicillin 500mg TDS 5 days (child: 40-90mg/kg/day TDS); co-amoxiclav if no response at 48h; analgesics; NICE: antibiotics for bilateral AOM in children <2 years
→ Immediate antibiotics; co-amoxiclav if otorrhoea or treatment failure; ENT review; exclude mastoiditis (post-auricular swelling, protrusion of ear); CT if mastoiditis suspected
Interpretation bands for the AOM Severity. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Amoxicillin (Otitis Media / Sinusitis) · Beta-lactam antibiotic
- Glyceryl Trinitrate (Sublingual / IV) · Nitrate / Acute Angina
- Dobutamine (Acute HF / Stress Echo) · Inotrope / Acute Heart Failure
- Milrinone · Inodilator / Acute Heart Failure
- Prednisolone (Systemic) · Systemic Corticosteroid — Acute Dermatoses
- Methoxyflurane · Inhaled Analgesic — Acute Pain
- Adult Upper Airway Obstruction (Stridor) · DAS 2015 unanticipated difficult airway; RCEM
- Epistaxis Management · ENT-UK / NICE
- Acute Otitis Media · NICE NG91 2018
- Tonsillitis and Sore Throat · NICE NG84 2018
- Benign Paroxysmal Positional Vertigo · NICE CG124 / AAO-HNS Guidelines
- Acute Rhinosinusitis · NICE NG79 2017 / EPOS 2020
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.