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Paediatric Otitis media / Otological Concerns (Audiology)


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • Hearing loss associated with ear disease e.g. perforation, discharging ear persisting for more than 3 months
  • Category 2
    (appointment within 90 calendar days)
    • Suspicion of cholesteatoma
    • Painful discharging ears despite topical antibiotic (first line) and/or PO antibiotic therapy (second line) for 5 days
    • Children with physical/structural/ medical comorbidities e.g. cleft palate, craniofacial abnormalities, diabetes, SNHL
    • Middle ear conditions with no previous audiology
    • Chronic ASOM with ear drum perforation
    • Aboriginal and/or Torres Strait Islander children with evidence of bilateral chronic ear disease exceeding 3 months
  • Category 3
    (appointment within 365 calendar days)
    • Recurrent AOM where audiology has been performed in last 12 months.
    • Chronic perforations that have had previous ENT management

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

2. Essential referral information Referral will be returned without this

  • Medical management to date
  • Description of
    • onset, duration, frequency, severity
    • previous ENT history
  • Social modifiers i.e effect on home schooling, out of home residence
  • Impact of hearing loss on developmental milestone i.e. speech delay

3. Additional referral information Useful for processing the referral

  • Family history of childhood hearing loss in patient's parents or siblings
  • Speech and language or other developmental delays including behavioural issues and learning difficulties
  • Syndromes known to be related to hearing loss including Down syndrome
  • Ear swab M/C/S results
  • Previous audiology assessment results if applicable/available
  • Results of Health Assessment for Aboriginal and/or Torres Strait Islander People

4. Request

Last updated: 13 June 2023