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AOM - high risk

Usual Pathogens

S. pneumoniae
Moraxella catarrhalis
H. influenzae

Occasionally:

Group A Streptococci
S. aureus

Empiric Therapy	Dose	Duration
Amoxicillin	45mg/kg/d PO div bid-tid	10 days
+
Amoxicillin-clavulanate (7:1 - Clavulin -200 or -400)	45mg/kg/d PO div bid-tid

Penicillin allergy

Empiric Therapy	Dose	Duration
Ceftriaxone	50mg/kg IM/IV daily	3 days