They are observed for 48 hours before giving them antibiotics. In Canada, however, the reflex is to give them antibiotics because an ear infection can sometimes cause meningitis, and the infection, if undiagnosed, can lead to many long-term complications. To avoid a single possible case of harmful complications, a hundred people are treated with antibiotics. Given the possibility of litigation, this is how the medical practice is done. I don't want to excuse everyone's behaviour, but what I'm saying is that some doctors may be encouraged to do so for fear of possible prosecution. Having said that, I have a little compassion for the people on the front line who have to respond to this problem.
On November 7th, 2017. See this statement in context.