AKT-0615

AKT-0615

A 4-year-old child presents to the out of hours service with a two-night history of earache. The child has a fever, but no ear discharge. There is no vomiting, but loose stool was reported twice today and the child passed urine four hours ago. The child had a similar episode six months ago that resolved with antibiotics. The child has no significant medical history. On examination, the child is well hydrated, has no rash, and clear chest. The left ear has an erythematous bulging eardrum with no perforation or discharge. The right ear and throat show no abnormalities, and there is no cervical lymphadenopathy or mastoid tenderness. The child has a fever of 39°C, HR 130, RR 30, CRT <2 sec. Based on the NICE 'traffic light' system, what is the most appropriate management?