According to guidelines, children under 2 with mild to moderate AOM should be treated for how many days?

• A. 5 days
• B. 10 days
• C. 7-10 days
• D. 3 days

Answer: (B)

When treating acute otitis media, the duration of antibiotics is guided by the child’s age because younger children have a higher risk of persistent infection and complications. For children under two with mild to moderate AOM, a full 10-day course is recommended to maximize the likelihood of cure and reduce relapse. Shorter courses—such as 5 days or 3 days—are generally not considered adequate in this age group. While shorter durations may be used in older children or milder cases, the standard for under two is a 10-day treatment.