Otitis Media

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply to the referral standards and include:

Acute OM

  • Only to be referred as emergency with signs of Mastoiditis

Chronic OM (Chronic Suppurative OM)

  • Examination findings of tympanic perforation, mucopurulent discharge
  • History of recurrent Acute OM
  • Tuning fork testing consistent with conductive or sensorineural hearing loss

Tests

  • Swab for m/c/s

Interim/GP management

To refer a patient with this condition, please see the ENT clinic page for the full referral process and templates.

  • Protect ear from water exposure
  • Aural toilet (not syringing) if experienced
  • Topical ciprofloxacin ear drops

For more information please see the Tasmanian Health Pathways website.

Emergency

Mastoiditis

Neurological signs

Semi-urgent / category 2

  • Persistent despite treatment

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED).
LGH ED Reception  – Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100  Fax: (03) 6173 0489

Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.

Urgent:

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment