By rray, 29 October, 2014 Does this Patient Type contain sub types? No Patient Type Details For AOM pts worsening or failing to respond at 48-72 hrs after tx:<sup>18,19</sup> Otalgia tx if needed [B/R] Prophylactic abx not recommended [B/R] Prevention:<sup>22</sup> pneumococcal conjugate vaccination [B/SR] & annual influenza vaccination [B/R] per AAP schedule, exclusive breastfeeding for 1st 6 mo of life [B/R], avoidance of tobacco smoke [C/R].