Acute

Acute otitis media is uncommon in adults.

 
Usual Pathogens

S. pneumoniae
H. influenzae
M. catarrhalis
Group A Streptococci
S. aureus

 

Empiric Therapy Dose Duration
Amoxicillin 1g PO tid 5 days

Alternative

Empiric Therapy Dose Duration
Doxycycline 200mg PO once, then 100mg PO bid 5 days