text: The mainstay of therapy for acute<unk><unk>  (AOM) is antimicrobial therapy. High-dose Amoxicillin is the drug of choice for initial antibiotic therapy; high-dose Amoxicillin-Clavulanate or intramuscular Ceftriaxone should be reserved for patients who fail to respond to first-line treatment within 48 to 72 hours. Antimicrobial agents covering common bacterial pathogens (e.g., Streptococcus pneumoniae, Moraxella catarrhalis, and non-typeable Haemophilus influenzae) have been used with success in selected patients to accelerate the recovery and lower the risk of tympanic membrane perforations and contralateral AOM episodes.  The optimal duration of antibiotics remains uncertain: a 10-day course of antibiotic therapy is recommended for children younger than 2 years and children with severe symptoms. In the absence of severe symptoms, a 7- or 5-day course is advisable for children 2 to 5 years of age or children 6 years and older, respectively. Current guidelines recommend observation for children age 6 to 24 months with unilateral AOM without otorrhea or children older than 2 years with unilateral or bilateral AOM without otorrhea. Otalgia is generally managed with Acetaminophen, Ibuprofen, or narcotic analgesics with Codeine.
option_0: Otitis media medical therapy
option_1: Mastoiditis medical therapy
option_2: Rhinitis medical therapy
option_3: Otitis externa medical therapy
option_4: Erysipelas medical therapy
option_5: Aortitis medical therapy
option_6: Epiglottitis medical therapy
option_7: Conjunctivitis medical therapy