Questions about Antibiotic Resistance Q: What is antibiotic resistance?
Print this Article New research on ear infections confronts a challenging conundrum: What should pediatricians do for a toddler with a real-deal ear infection? The new research confers benefit to using antibiotics at initial diagnosis of a true ear infection in children under age 2 or 3.
Seemingly simple, treatment decisions for ear infections are far from it. It can be easy for a pediatrician to prescribe antibiotics, yes.
But those of us working hard to perfect how we care for children think long and hard prior to writing a prescription for the pink stuff. Current guidelines from the AAP published in make us pause. The AAP recommendations include: Proper inspection Pain control Tylenol or Advil, etc.
Observation waiting for hours for relief Treatment with high-dose Amoxicillin first and foremost if selected to treat. Fluid in the middle ear may not represent an infection, and believe it or not, it can be very difficult at times to even see the middle ear via the eardrum to make the diagnosis.
Further, doctors vary in their opinion of what defines an ear infection when looking at the ear drum. The enlightenment in this new research is the use of strict criteria for diagnosis: The study highlights the essential challenge with ear infections—make a good diagnosis.
Seeing the eardrum well is essential, but 2 year-olds will work very hard and be incredibly devious protecting themselves from an otoscope entering their ear canal. And as to removing wax? I have often said to families while wrestling with their sweaty, screaming, uncomfortable child that cleaning out earwax is the absolute worst part of my job.
But we still do it, every day.
Diagnosing ear infections can bankrupt our energy, yet this procedure remains a pillar in quality care for young children. Simple, it is not thank you, Yoda … Ear infections are the most common bacterial infection in young children. The new studies may shift the pendulum again.
The two new studies one in Pittsburgh, PA and one in Finland found children recovered faster and had less recurrence of ear infections when treated initially with antibiotics Amoxicillin in Finland, Augmentin in Pittsburgh.
All children in the study were diagnosed with true ear infections using strict criteria. Children who were treated had more acute recovery.
And the children who were treated with placebos had more clinical failure they still felt crummy and more recurrence the infection came back. Treatment and the benefit is seen when true infection causing a bulging eardrum, pain, and discomfort are present.
Many viruses and non-threatening fluid in the middle ear may not need treatment. More, it would be a time for pain relief with Tylenol or Motrin, comfort measures, and time.
And then patience, too. See your pediatrician for an ear check if you are concerned about an ear infection in your child.
When the pediatrician diagnoses an infection, push them on the appearance of the eardrum. Ask if the eardrum is bulging, if it has pus behind it, or is red in color. Remember that seeing the ear drum is the most important part of determining how to help your child.
Consider using just pain control and supportive care instead. If your child is not improved after hours from when symptoms started treated with antibiotics or notreturn to see the pediatrician for another evaluation. If you wanted a short blog post about these findings, this is what I would have written ; Nice work, Richard Knox.
Do you hate those ear cleanings, too?Sep 10, · Antibiotics are meant to be used against bacterial infections. For example, they are used to treat strep throat, which is caused by streptococcal bacteria, and skin infections caused by.
Many other compounds can kill both bacterial and human cells. It is the selective action of antibiotics against bacteria that make them useful in the treatment of infections while at the same time. Before scientists first discovered antibiotics in the s, many people died from minor bacterial infections, like strep throat.
Surgery was riskier, too. Surgery was riskier, too. But after antibiotics became available in the s, life expectancy increased, surgeries got safer, and people could survive what used to be deadly infections.
Antibiotics should only be used to treat bacterial infections, not viral infections, as they will not work against upper respiratory illnesses caused by viruses.
Taking antibiotics for illnesses such as colds, flu, runny noses or most coughs will not make you feel better, cure the infection, nor keep others from catching the infection.
Buy Antibiotics Online. For those people who have any bacterial infection, you need to treat it by taking specific antibiotics. If your immune system can’t fight such infections, you will develop an unwanted bacterial disease, so the only effective method is to use antibiotics.
How can a viral infection turn into a bacterial infection? Is a question a lot of parents ask when their doctor waits 3 days before starting an antibiotic. Can a cold or a viral infection, turn into a bacterial infection?
The answer is “Yes” Why is overuse of antibiotics a problem? What Parents Ask. Pingback: 12 Rainy Day.