 Feasibility: Data from the investigators emergency department indicates over 900 children per year present with AOM, and over the past 6 months of winter Oct-Mar there have been about 540. Based on previous results 9-11 the investigators predict an antibiotic usage rate of 30. To collect 40 patients who fill a prescription for antibiotics the investigators will need 135 patients with otitis. If antibiotic usage rates are higher this number will decrease. Accounting for about a 15 drop out rate the investigators will need to enroll about 155 children. Conservatively assuming recruitment of 30 of children with AOM the investigators anticipate 24 weeks to reach the investigators sample size. 