Adequate analgesia is an essential component of management of AOM
Due to increased rates of resistance, macrolides, trimethoprim+sulfamethoxazole, and clindamycin should generally not be used first line
Dose adjustment required in renal impairment for all antimicrobials below except for cefTRIAXone
Reactions may include, but are not limited to: urticaria, angioedema, pruritus, bronchospasm, anaphylaxis
PLUS
OR
Children ≥2 years of age with NO complicating factors: 5 days
Children <2 years of age AND/OR presence of any complicating factors: 10 days