Current clinical consensus and observational data confirm that antibiotics, specifically aminopenicillins like amoxicillin, remain the primary modern treatment for bacterial middle ear infections in children.
The retrieved papers consistently demonstrate that antibiotics (particularly amoxicillin and amoxicillin-clavulanate) are the recommended and most frequently prescribed primary treatment for bacterial middle ear infections (acute otitis media) in pediatric patients across multiple countries. While some papers discuss watchful waiting for mild cases or alternative strategies for otitis media with effusion (OME), the literature explicitly affirms that antibiotics are the standard pharmacological treatment for bacterial acute otitis media.