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Otitis media – acute otitis media with or without perforation (AOMwiP/AOMwoP)


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • No category 1 criteria
  • Category 2
    (appointment within 90 calendar days)
    • Suspicion of complicated otitis media e.g. 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
  • Category 3
    (appointment within 365 calendar days)
    • ASOM with ear drum perforation with persisting concerns > 6 weeks
    • Recurrent AOM (rAOM) More than 3 episodes of acute otitis media in 6 months or
    • Recurrent AOM (rAOM) More than 4 episodes of acute otitis media in a 12-month period

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

3. Additional referral information Useful for processing the referral

  • Duration of condition and antibiotic use to treat condition
  • Ear swab M/C/S results
  • Diagnostic audiology assessment results (Highly desirable where available and not cause significant delay)
  • Results of health assessment for Aboriginal and/or Torres Strait Islander People

4. Request

Last updated: 13 June 2023