Mastoiditis, Acute

Mastoiditis, Acute

Infection Control

Routine Practices

Diagnostic Considerations

  • Acute mastoiditis is a clinical diagnosis. Use of mastoid and/or cerebral CT or MRI can help in confirming diagnosis and assessing for complications
  • ENT consultation recommended. Aspiration and drainage of the middle ear may be helpful early in the disease process for diagnostic and therapeutic purposes
  • If tympanic membrane is perforated or middle ear drainage occurs, middle ear pus should be sent for culture

Allergy Alternative

Duration of Therapy

2-3 weeks

Oral Switch

Consider oral switch when clinically improved


More Information

Reviewed and Approved by AAG January 2023. 

Kimberlin DW, Brady MT, Jackson MA, et al. Red Book: 2021 Report of the Committee on Infectious Diseases. 32nd ed. Itasca, IL: American Academy of Pediatrics.

Kaufmann MR, Shetty K, Camilon PR, et al. Management of acute complicated mastoiditis a systematic review and meta-analysis. Pediatr Infect Dis J 2022;41(4):297-301.