Should I prescribe antibiotics for a child with otitis media and discharge from eardrum rupture? — Paediatrics for Primary Care (and anyone else)

The answer to that question is much more complicated than most guidelines will lead you to believe.The headline statement recommending the use of antibiotics in this scenario has buried the evidence in multiple layers of interpretation. To get to the truth, we have to look at the lierature ferred to in the decision to make… via…

FOAM4GP Map – Grumbly Grommets

Clinical Case: “Doctor, I want to have a referral to an ENT. Sophie keeps getting ear infections and I was told by a friend that grommets will help.” I get questions like these (or similar) quite regularly as there seems to be quite a push from local GPs to refer to ENT early for grommets.…