For a patient with otitis media who is allergic to penicillin but not anaphylactic, which antibiotic is appropriate?

In the case of a patient with otitis media who has a non-anaphylactic allergy to penicillin, the appropriate choice is cefuroxime. Cefuroxime belongs to the class of cephalosporins, which share some structural similarities with penicillin but are generally considered safe for patients with a non-anaphylactic penicillin allergy.

Patients with a non-anaphylactic penicillin allergy often tolerate cephalosporins, and cefuroxime is effective against the common pathogens that cause otitis media, including Streptococcus pneumoniae and Haemophilus influenzae. Because of its efficacy and safety profile, it is a suitable alternative.

Other choices do not fit as well for this specific scenario. Azithromycin, while an alternative, may not provide adequate coverage against all strains of resistant Streptococcus pneumoniae. Amoxicillin is contraindicated in this case due to the patient's allergy, despite being a first-line treatment for otitis media. Cefdinir, another cephalosporin, might be considered valid, but cefuroxime is often preferred due to its spectrum of activity and reliability in treating otitis media specifically.

In summary, cefuroxime is the best choice for effectively