GuidelinesEML (Adult Hospital STG)
Mastoiditis
Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition
ICD-10 Code: H70.0/H70.9
DESCRIPTION
- Infection of the mastoid air cells, usually complicating otitis media.
- Most patients have tenderness, erythema, and/or swelling over the mastoid bone.
- Diagnosis should be confirmed radiographically, preferably by CT scan.
MEDICINE TREATMENT
- Ceftriaxone, IV, 2 g 12 hourly.
REFERRAL
- After initiating antimicrobial therapy, refer to a centre for mastoidectomy.
Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2024 Edition