Antibiotic Use in Children's Ear Infections

Added on 2020-04-07

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Antibiotics and ear problems

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Table of ContentsIntroduction............................................................................................................................................3Antibiotics for children..........................................................................................................................3Role of antibiotics for treating AOM......................................................................................................4Oral antibiotics vs. antibiotic eardrops...................................................................................................5Critical Appraisal Skills Programme......................................................................................................6Why are more kids impacted by Otitis mediathenadults?.....................................................................6Cure of Otitis media...............................................................................................................................7Management...........................................................................................................................................8Recommendations................................................................................................................................10Conclusion...........................................................................................................................................11References............................................................................................................................................11Appendices...........................................................................................................................................13

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IntroductionThe topic chosen for the study is “antibiotics and ear problems” and the article chosen for thestudy is named as- “Use of Antibiotics in Preventing Recurrent Acute Otitis Media and inTreating Otitis Media with Effusion” (Williams, 1993). This topic has been chosen for kids whohave chronic suppurations Otitis media (CSOM),so that the impact of antibiotics can be seen onthose kids. This article has been used for showing the efficiency of antibiotics for prophylaxis ofrecurring Otitis medium and cure of Otitis media with effusion (OME) in kids.Antibiotics for childrenAntibiotics seem to be useful yet the recurring Otitis medium has meagre impact. OME hasimpact in short run but it isn't effective in long run ("Use of antibiotics in young children maydisrupt gut microbiome", 2015). Also this article has limitations since the group of patientswhich can be benefited was not rightly identified. Even though there has beenhugeamount ofexpenditure by US pediatric population for the cost of Otitis media, still the treatment of theseconditions cannot be taken as a dependable one. In case of the recurring acute Otitis media, theimpact of antibiotics cannot be known ("Antibiotics not effective for children with infectedeczema", 2016). There arecertainset ofpediatricians whobelievethat antibioticsare moreeffective and the other set believes that century has along lastingeffect. In case of recurringAOM, The issue seems to be of choice, decision,and timingof antibiotic prophylaxis. This studyundertookmeta–analysisof the roleof antibioticsfor the cure of OME and inprophylaxisofrecurring AOM. The Otitis media states that child has some fluid or liquid on the backside of his or her eardrum.These can be segregated into two types known as acute Otitis media (AOM) and Otitis media

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with effusion (OME) (Are Children Overprescribed Antibiotics?, 2008). In a cute won the fluidis having infection or virus or any kind of bacteria that leads to fever or pain. The update ismedia with diffusion is one where the flu it is not infected and doesn't give any kind of pain. It isimportant for the doctor to find out what kind of Otitis media it is. It can be caused by blockingof any to connecting the mid of ear with the nose (Bhutta, 2014). In case this to gets blockagethen the fluid collection can be seen at the back of the eardrum. In case thereisbacteriadeveloped within this fluid then this can be very painful and most of the times it is not due tobacteria butdoyou to any virus.The general time when this kind of infection or Otitis media occurs is during the winters and thiskind of problem is more seenin kidsgoing to day-care. Even if a child catches any upperrespiratory infection or a cold then also this can happen. But it has to be kept in mind that watergoing inside the ear doesn't lead to Otitis media.Role of antibiotics for treating AOMAntibiotics are just useful in specific instances of AOM. If the kid is of two ears are lesser of ageor kids with very severe and re-occurring pain or has high fever of more than 102°F thenantibiotics can be utilised for reduction in pain and bringing back the body temperature tonormal. However this would also take around 2 to 3 days (Slovis, 2012).In the children who arebigger than two years of age over the kids who have almost no symptom then it is preferable thatantibiotics are not utilized for AOM. These antibiotics usually have Side effects like diarrhea,upsetting of stomach and body rashes. These side effects can be seen when any kid who has beentreated with antibiotics for this ear infection gets harsh infections by antibiotic resistant bacteria.Therefore doctors generally avoid using antibiotics and recommend these only for kids who havehigh fever or severe pain in that ear (Pichichero, 2015). In such cases, the patient is treated with