Acute Mastoiditis

Antimicrobial prescribing: NHS Forth Valley
NHS Forth Valley

First Line

Therapy

Ceftriaxone (at CNS doses) IV + Metronidazole IV/PO for 10-14 days - minimum 5 days IV

Co-amoxiclav PO for oral switch

Notes:

Anaphylaxis (including severe skin reaction) to penicillin / cephalosporins - (Penicillin allergy)

Therapy

Vancomycin IV + gentamicin IV + metronidazole IV/PO

Notes:

Notes

Involve ENT