A 7-month-old infant has had two prior acute ear infections…
A 7-month-old infant has had two prior acute ear infections and is currently on the 10th day of therapy with amoxicillin-clavulanate after a failed course of amoxicillin. The primary care pediatric nurse practitioner notes marked middle ear effusion and erythema of the TM. The child is irritable and has a temperature of 99.8°F. What is the next step in management of this child’s ear infection? Order a second course of amoxicillin-clavulanate. Perform tympanocentesis for culture. Prescribe clindamycin twice daily. Refer the child to an otolaryngologist. Correct