A middle ear infection (otitis media) will often get better by itself in a few days as the body’s immune system can take care of the infection without any treatment.
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Most children older than 2 years won’t need antibiotics to treat a middle ear infection — the infection will clear up by itself in a few days. However, many children younger than 2 years may need antibiotics to treat the infection.
Antibiotics won’t help relieve your child’s ear pain. Whilst a child’s ear pain will be of concern to their parents or carers, studies show that 6 out of 10 children will have no ear pain after the first 24 hours without any treatment (antibiotics or pain relief).
Pain relief medicines (such as paracetamol or ibuprofen) can help to relieve the symptoms of an ear infection, and will usually only be needed for a short time.
If your child’s symptoms don’t improve after a few days, or their symptoms get worse, see your doctor.
Antibiotics are recommended for children with middle ear infections who:
Infants younger than 6 months old who have ear infections (with or without fever or vomiting) will usually be prescribed an antibiotic. Your doctor will usually ask to see your baby again in 24 hours.
Your doctor will advise you on how to relieve the symptoms of a middle ear infection. Your doctor may ask to see your child after 24 hours, or contact you to ask how they are. If your child’s symptoms don’t improve after 24 hours, your doctor may prescribe antibiotics.
Your doctor will advise you on how to relieve the symptoms of a middle ear infection. If your child’s symptoms don’t improve in 2 days, your doctor will usually examine your child again and may prescribe antibiotics if necessary.
Most adults won’t need antibiotics to treat a middle ear infection — the infection will clear up by itself in a few days.
Your doctor can provide advice about how to relieve your symptoms. If your symptoms don’t improve in 2 days, your doctor will usually examine you again and may prescribe antibiotics.
Paracetamol, ibuprofen or aspirin can help relieve the pain caused by an ear infection.
Ear infections: Health Navigator
It’s OK to ask questions
If you have questions about your symptoms or the medicines managing your symptoms, speak with your health professional.
You can also download this information as a pdf (401 KB).
Adapted from NPS MedicineWise (2016), Medicines and treatments for a middle ear infection. Reasonable care is taken to provide accurate information at the time of creation. This information is not intended as a substitute for medical advice and should not be exclusively relied on to manage or diagnose a medical condition. NPS MedicineWise and Choosing Wisely New Zealand do not assume any responsibility or liability arising from any error or omission or from reliance on any information in this resource.
This article is part of our content on Choosing Wisely, a campaign encouraging a change in thinking by health professionals and consumers to avoid unnecessary medical intervention.