Table 2 Clinical outcomes at 7 days after diagnosis of acute otitis media (AOM). AOM was considered cured when there was no bulging and no discharge present on examination. An episode of AOM was considered improved if: i) the ear discharge had resolved but bulging of the TM persisted in AOM with perforation; or ii) the bulging of the TM was reduced to mild in AOM without perforation. Despite improvement, these children still had persistent signs of suppurative infection.