Otitis media with effusion in under 12s: summary of updated NICE guidance

What you need to knowRefer patients with suspected otitis media with effusion (OME), for age and developmentally appropriate assessment of hearing so OME can be diagnosed and potential hearing loss investigatedDo not use antibiotics, oral or nasal steroids, antihistamines, leukotriene receptor antagonists, mucolytics, proton pump inhibitors or anti-reflux medications, or decongestants for treatmentConsider off-label use of non-ototoxic topical antibiotic drops, such as ciprofloxacin, in the treatment of otorrhoea after grommet insertionGive information and advice to children, parents and carers on how children can be supported at home and in the educational setting to help mitigate the impact of OME and associated hearing lossOtitis media with effusion (OME), commonly known as glue ear, is the presence of fluid in the middle ear in the absence of infection. It differs from acute otitis media, which is an infective condition and often presents with ear pain and discharge. Across the United States and…
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