Acute otitis media (2006) | Indicated |
Age <6 months Severe or increasing illness Risk for complicated course: anatomy abnormalities, compromised immune system
| Amoxicillin |
|
May be considered |
Age <2 years with bilateral AOM Otorrhoea at first presentation No improvement after 3 days
|
Acute sore throat (2007) | Indicated |
Severe illness, with severely inflamed pharynx and fever ≥38.5°C Peritonsillar infiltrate or abscess Heavily swollen lymph nodes Risk for complicated course: history of acute rheumatic fever, compromised immune system
| Pheneticillin, phenoxymethyl penicillin |
Rhinosinusitis (2005) | May be considered |
| Adults: doxycycline or amoxicillin Children: amoxicillin |
Acute cough (2011) | Indicated | Signs and symptoms indicative for pneumonia:
Severe illness with localised auscultation abnormalities or tachypnoea Symptoms 7 days, with fever (≥38°C) ≥7 days
| Adults: doxycycline |
| |
Risk for complicated course:
Age <6 months, or >75 years with fever (≥38°C) Relevant comorbidity: congenital heart or lung disease (children), heart failure, severe neurological disease (adults), or COPD (>50 years, with fever ≥38°C and moderate disease severity)
| Children: amoxicillin |
Bacterial skin infections (2007) | Indicated |
| Flucloxacillin |
Urinary tract infections (2005) | Indicated |
Positive nitrite test, dipslide, or urinary sediment Recognition of cystitis complaints from previous episodes
| Uncomplicated or without tissue invasion: nitrofurantoin |
|
Complicated with tissue invasion: amoxicillin/clavulanate |