Wednesday, 15 August 2018
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Ear Infection Antibiotics

Ear Infection Antibiotics


Have Antibiotics Become The Best Choice For Healing Infections Of The Middle Ear?


Antibiotics are often used for the treatment of middle ear infections (otitis media). Somewhere between 35~45% of ear infections is a bacterium. They are most often caused by bacteria such as Streptococcus pneumonia and Haemophilus influenza. The virus can also trigger ear infections, and in this case, unnecessary antibiotics.

Diagnosis of otitis media, ear pain based on associated with fever. The eardrum looked red and it stood out and the patients felt irritable and restless. In children who are younger, the pain can be so strong that it makes them scream and cry.

For the treatment of middle ear infections, the responsible physician should advise you to wait at least a few days before you prescribe antibiotics. A pain killer can be notified if necessary to dull the pain. The “Look and wait” technique will determine if the antibiotics are really necessary.

Studies show that about 85% of children are better than fast, without any difference in speed is a significant relief of pain, the speed of the temperature back to normal, the speed of the discharge of the ear stops or other symptoms-if they have an antibiotic or not.

In a study of the year 2000, 240 children under two years of age with acute otitis media monitored with care are diagnosed. After four days, only 3% of children who need treatment with antibiotics, while naturally cured infection in 97% others.

When antibiotics are used to treat recurrent infections of the middle ear in children, antibiotics will increase the likelihood of a new infection of up to 600 percent. It also increases the chances of the operation will eventually be necessary. In 1970, of 10 500 children who undergo the treatment of middle ear infection without antibiotics, researchers in Denmark found that over the next 14 years, only 15 auditory surgeries are needed. This is very low compared to children who undergo surgery after having undergone antibiotics several times.

A study of the year 1983, published in the British Medical Journal showed that in adults who develop chronic otitis media is active, there is no benefit in the use of antibiotics.

When an antibiotic is necessary then make sure that you support the immune system so that the complications do not arise, and the script of repeated antibiotics is not necessary. Note that studies have shown that a short course of antibiotics for the treatment of middle ear infections, two to five days, as effective as the ten-day course.


Choice For Antibiotics For Infected Kids In The Ear:


Many parents of young children have experienced firsthand the inefficacy of antibiotic medications that are frustrating and increased infection pressure while trying to cope with young people’s ear infections everywhere. Ear infections occur when bacteria or viruses enter small pockets of air behind the eardrum (middle ear) and cause an infection that has caused an accumulation of pus accompanied by pain, fever, and the ability to empty the pus out of the ear. There is a small tube called the proboscis tube that connects the middle ear to the throat and lets the air move in and out of the middle ear; In children under 3 Eustachi tubes is very small and less able to resist the bacterium. This is why young children are particularly sensitive to ear infections.

When my more than 14 years daughter is still in the only figure, she often knows ear infections. The pain in the ears causes crying (who can blame her?), and we will take it to the pediatrician, who would conscientiously write a prescription for antibiotics such as amoxicillin. After treatment, the symptoms will disappear and feel good for a few weeks. Afterward, the pain and infection will return and the whole cycle begins again. Visit the Doctor several times and your treatment is costly, tedious and annoying. Antibiotics also kill normal bacteria in their ears, and have chosen the worst bacteria are even more difficult to treat next time. We repeat this useless cycle for several years, but my daughter has actually grown out of ear infections.

For years, doctors in the Netherlands have successfully used the “wait-and-see” approach. It turns out that antibiotics have a minimal impact on ear infections, and if the child is not toxic (highly visible disease and does not respond), a simple ear infection is treated better with ibuprofen, a painkiller for local ears, and otherwise left alone. If the child does not show improvement after three days, then it is time to go to the doctor. In the years caring for the children in this way, there are no unwanted results. I hope they follow the focus of waiting and seeing when my daughter was little.

Children who are treated with antibiotics for ear infections have increased triple recurrent infections. This is related to the fact that the normal bacteria killed by antibiotics in the ear, creating an environment in which pathogenic bacteria can take the foot. Despite the fact that the guidelines say that they do not treat certain types of ear infections with antibiotics, many doctors do. The types of ear infections where there is fluid coming out of the ears, without any evidence of acute infection (Gumam eardrum, extreme pain, high fever) are often treated with antibiotics, even if the risk of infection increases.

What is the worst that can happen if your child is exposed to ear infections? Well, that can be infections that can spread to the brain, causing meningitis (which can be fatal or cause brain damage). May cause hearing loss or mastoid sinus infection. However, none of these things happened where treatment was delayed no more than three days. In other words, if you adopt a wait-and-see approach, and wait up to three days to run (I think your child doesn’t seem like he was dead or any other way seems very sick, like a high fever or recurrence of vomiting), you’ll be fine. Give them painkillers like Tylenol, or if you take it to a local doctor to reduce the pain in your ears.

Research studies that show the benefits of the wait-and-see approach. A study of 240 children 6 months to 2 years showed that treatment with amoxicillin relation to the reduced duration of the placebo fever is 3 to 2 days and the symptoms of day 4 to 13%, without any difference in pain in the examination of the ear. The authors conclude that “This does not justify the simple effect of antibiotics on the first visit, which gives a strict vigilance can be guaranteed.”

Another study against 315 children aged 6 months to 10 years shows that unless there is high fever, more than 37.5 C, or vomiting, antibiotics have no effect on pain. And they don’t help children sleep at night-even three days after the start of treatment (1). A meta-analysis of all research shows that 60% of children treated with placebo did not suffer after 24 hours. Early use of antibiotics reduces pain by 41% compared to placebo on day 2-7. Antibiotics that double the risk of vomiting, diarrhea, or rash. Seventeen children should be treated to reduce pain in children. Based on the research, I suggest waiting two days before treatment, unless the child has a high fever, vomits, or is suffering.

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