Do children have to take antibiotics for otitis media?
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- Source:Verizon Hearing Aids
From a professional perspective, of course it depends on whether it is bacterial otitis media. If not, antibiotics will not have any effect. If it is bacterial infection, antibiotics should also be used under the premise of a doctor's prescription. . The age of onset of otitis media in children usually ranges from 6 months to 18 months. Otitis media is divided into acute otitis media, secretory otitis media and chronic suppurative otitis media. Otitis media in children is mostly acute otitis media, so we will introduce this type of acute otitis media. Acute otitis media
What are the symptoms and manifestations of acute otitis media?
1. Symptoms: Acute otitis media in children is an acute inflammatory reaction in the middle ear that occurs suddenly within 48 hours, often accompanied by middle ear effusion. The main clinical manifestations are fever, chills, irritability, crying and earache. (The baby will involuntarily pull his ears and bang his head), be in a bad mood or have a cold expression, anorexia or even vomiting and diarrhea. Acute otitis media can be divided into non-suppurative otitis media and suppurative otitis media. This type of otitis media is the most common middle ear disease in children.
2. Acute non-suppurative otitis media: In this disease, the tympanic membrane is intact when examined, and there is often local acute congestion and effusion in the middle ear. There is often a prodromal history of upper respiratory tract infection before the onset, that is, viral infection and subsequent secondary infection. Bacterial infections.
3. Acute suppurative otitis media: As the name suggests, it is an acute suppurative inflammatory reaction in the middle ear, often accompanied by hearing loss. Examination shows perforation of the tympanic membrane and discharge of pus. Once the tympanic membrane is perforated, the inflammatory reaction in the middle ear and the whole body is reduced. .
What causes acute otitis media?
1. Cold: It is mostly caused by bacterial secondary infection after a cold. This is a common cause of otitis media.
2. Inflow of tears and milk: If the child is lying on his back, a large amount of tears will flow into the ears after crying, causing infection; and if the child often lies down to breastfeed, the child's Eustachian tube will be short and flat, and the swallowing movement will not be enough. If it is not coordinated, milk will easily flow into the middle ear frequently, which can easily cause acute infection and suppuration in the middle ear.
3. Other infectious diseases can easily lead to acute suppurative otitis media: such as Streptococcus pneumoniae infection, Haemophilus influenzae infection, rhinitis, tonsillitis, bronchitis, measles, scarlet fever, influenza, etc., because these respiratory tract Infectious diseases and pediatric infectious diseases are all infected around the five senses.
So how do parents detect acute middle ear inflammation in their children?
For example, if a child cries violently, has restless sleep at night, suddenly becomes frightened and cries, has a fever, or even vomits, you must think more about whether the cause is the middle ear. Also, when we accidentally touch a child's ear, the child cries abnormally or refuses to let parents touch the ear at all, and sometimes pus leaks from the external auditory canal. At this time, we must go to the hospital to see an otolaryngologist as soon as possible. .
Can otitis media in children be prevented?
It was possible at that time, andMainly based on prevention.
1. Try not to let the child sleep with breast milk or breastfeed in the supine position. In fact, when feeding at night, the child should be placed in the lying position and the back should be slightly raised to form a comfortable angle. After feeding, you should pick up the baby and burp him. When a child cries and sheds tears, wipe them with a clean handkerchief immediately.
2. For older children, put earplugs in at the end of swimming. If water gets into the ear, pick the child up, place the ear on the parent's leg with the ear facing downwards, and use your palms to press the ear and ear on the side where the water has entered. Hold your hand open to allow negative pressure to form in the external auditory canal, and then quickly release your hand. Repeat this several times, and the water in the ear will come out.
3. Try to control other infectious diseases in children as early as possible.
4. There is no need to dig the children's ears frequently. The cerumen in the children's ears will "move" out on their own to a certain extent. If there is already fluid or pus in the ears, you must go to the hospital for treatment.
Do children need antibiotics for otitis media?
Although otitis media in children is mostly caused by bacterial infection or secondary bacterial infection, local ear medication or systemic antibiotics must be prescribed by a doctor.
The first step is to have the doctor clean out the ear canal and drain the pus. Then according to the principle of medication for sensitive bacteria, choose ear drops such as ofloxacin ear drops. It is emphasized that it is contraindicated to use aminoglycosides such as gentamicin, neomycin, kanamycin, and tobramycin in children. , Streptomycin ear drops.
Well, prevention of otitis media in children is important. Antibiotics should be used in a targeted manner under the guidance of a doctor, and empirical antibiotics must not be used on your own.