By vgreene, 26 May, 2015 Does this Patient Type contain sub types? No Patient Type Details For pts meeting dx criteria,<sup>9,10</sup> otalgia tx if needed, plus either observe w/ close F/U or abx: If PCN allergy:<sup>11</sup> Otalgia tx if needed [B/R] Prophylactic abx not recommended [B/R] Prevention:<sup>12</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].