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British Medical Journal Open 4 (10): 113

The new guidelines describe this as "moderate to severe bulging of the tympanic membrane (ear drum) or new onset of otorrhea (ear drainage) not due to external otitis (inflammation of the ear canal) or mild bulging of the ear drum, and recent ear pain (holding, tugging, rubbing ear in a nonverbal child) or intense reddening of the ear drum." The guidelines also strongly recommend that clinicians should not diagnose AOM without the presence of MEE

The GP is a key member of the treating team and can assist with patient support and adherence, as well as prompt investigation of treatment-related complications