This protocol covers management of chronic myringitis arising in the setting of acute otitis media (AOM) in patients with no known penicillin allergy. The allergy status directly shapes antibiotic selection, making it a central element of the clinical decision.
The patient presents with acute otitis media and has no penicillin allergy. In this population, high-dose amoxicillin is the established antibiotic of choice — the absence of a penicillin allergy permits use of this preferred first-line agent without substitution.
The regimen combines adequate analgesia — with ibuprofen as the preferred agent — alongside a first-line antibiotic. Antibiotic selection and treatment duration are guided by patient age and clinical severity; specific criteria determine when an alternative agent is warranted. The complete antibiotic choices, dosing strategy, and course length are detailed in the full protocol.