Ear Infection - Follow-Up

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Care for the child who returns for follow-up using ALL the boxes that match the child’s previous classifications
If the child has a new problem, assess, classify and treat the new problem as on the ASSESS AND CLASSIFY Chart

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Reassess for Ear Problem (See: Assess & Classify) 

Treatment:

• If there is tender swelling behind the ear or the child has a high fever, refer urgently

Acute ear infection

After 5 days:

• If ear pain or discharge persists, treat with amoxicillin for 5 more days
• Continue dry wicking if discharge persists
• Follow-up in 5 more days
• After two weeks of adequate wicking, if discharge persists, refer

Chronic ear infection

After 14 days:

• If some improvement, continue dry wicking, and review in 14 days
• If no improvement, refer

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Integrated Management of Childhood Illness 2022; Child (Age 2 months up to 5 years); Give Follow-up Care; Ear Infection

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Last checked for updates: June 2023