For a 14-month-old diagnosed with acute otitis media, what treatment is recommended?

For a 14-month-old diagnosed with acute otitis media, the recommended treatment includes providing pain relief with acetaminophen or ibuprofen, combined with amoxicillin at a dosage of 400 mg taken twice daily for a duration of 10 days. This approach is in line with clinical guidelines for the management of acute otitis media, particularly in young children who may present with moderate to severe symptoms.

Acetaminophen and ibuprofen are effective for alleviating pain associated with ear infections, which is an important part of treating the child's discomfort. The use of amoxicillin is appropriate, especially for children with an established diagnosis of acute otitis media who meet specific criteria for antibiotic treatment. The dosage and duration specified (400 mg PO BID for 10 days) is also consistent with guidelines that recommend higher dosages in certain cases to ensure adequate treatment of this common ear infection.

In contrast, alternative treatments listed in the other answer choices offer either inappropriate antibiotics or insufficient pain management strategies. For instance, azithromycin is not a first-line treatment for acute otitis media and is inclined towards addressing penicillin-resistant strains, which is less relevant to cases where first-line antibiotics are effective. A "wait and see" approach with ibuprofen, while