Inflammation and swelling of the ear shell, called otitis. The disease of unpleasant, requires a very careful approach to treatment. It is especially important that the elimination of symptoms, as well as the disease itself, should be carried out under supervision, in strict compliance with the recommendations of the otolaryngologist. Otitis can be both chronic and acute, has a different localization. But regardless of the characteristics, antibiotics are used in treatment for otitis in children.
Antibiotics are prescribed both internally and externally, on what type of otitis is available, as well as on its degree of development.
Important! It is strictly forbidden to choose independently antibiotics in the treatment of otitis media in children, regardless of its form. Since inconsistency in treatment with a doctor can lead to irreparable consequences, in particular – hearing loss, the development of infectious diseases.
The importance of antibiotic therapy
Many controversial opinions regarding the use of antimicrobial and antibacterial drugs can be thrown by one argument. Antibiotics are designed to cope with bacteria and microbes that have become the root cause of otitis.
Today, many qualified specialists have come to a common opinion – until the ear membrane perforates and the exudative fluid is cleansed, it is not worth taking antibiotics. But during treatment for more than five days, and in the absence of relief from painful symptoms, you need to immediately start taking these drugs so that there is no general intoxication of the body, as well as hearing loss.
Important! The doctor may apply the so-called wait-and-see tactics, if the otoloscopy did not give complete information about infection of the middle ear, and there are no other symptoms besides earache.
Also, if the child is more than two years old, and with mild manifestations of pain and fever.
What drugs are used to treat
Immediate antibiotic treatment is mandatory:
- children under two years old;
- organism intoxication is observed;
- while maintaining body temperature on the mark 39;
- with a strong pain syndrome.
Prescribe medications can only be a doctor, because he knows which antibiotics for otitis are needed, depending on the form. In practice, Clarithromycin and Roxithromycin, Amoxicillin, Ceftriaxone and Sofradex, Augumentin, Flemoxin Soluteb have proven their effectiveness.
Sofradex, a drug with antiallergic action, which is prescribed in the treatment of otitis media in acute and chronic form. Form release – drops.
Ceftriaxone – often prescribed for the treatment of otitis media in newborns, due to its extensive bactericidal capabilities.
Roxithromycin – macrolithic, which has the power to affect both gram-negative and gram-positive bacteria. Appointed to children from four years.
Clarithromycin – a great antibiotic, proven to be a safe and effective drug. It is a macrolith that is able to suppress protein synthesis in the cell of a microbe.
Amoxicillin – “heavy artillery”. It copes well with bacterial infections, is able to cope, even with severe infections.
Flemoxine Solutab – the best antibiotic. In pediatrics, has established itself as a safe antibiotic that does not destroy the intestinal microflora.
General information for use
Indications for the use of antibiotics are:
- hearing loss;
- discharge of mucus or pus from the ears;
- high temperature, more than 38C;
- severe weakness;
- pain in the ears;
- excessive sweating.
Important! To take an antibiotic only in the dosage specified by the doctor, in order to exclude the development of allergy and dysbiosis.
The course of antimicrobial treatment depends on which antibiotic is given. In medical practice, treatment of otitis media with similar symptoms are used:
- Azithromycin. The course of treatment is 3 days, you need to take 1 capsule per day.
- Phenoxymethylpenicillin. The course of treatment is 5 days. Take 1 capsule three times a day.
- Amoxicillin. The course of treatment is 7 days, take 3 capsules per day.
- Ciprofloxacin. Is taken for 7 days in 2 capsules.
- Spiramycin. The course of treatment is 7 days, take 3 capsules per day.
Injections are successfully applied:
- Netilmicin. Conducted an injection into the ear twice a day, for 7 days.
- Cefazolin intramuscularly. The course of treatment is 5 days, up to 4 times a day.
Otitis media and antibiotic
According to doctors, antibiotics with otitis media are not needed. But in exceptional cases, when an alternative treatment does not help a sick child, antimicrobials are prescribed. Especially with the preservation and development of some symptoms, namely:
- acute ear pain;
- severe congestion in ears and noise;
- prolonged pain in the head;
- temperature is more than 38 C;
- pain in mouth, teeth.
The doctor may prescribe:
- Cefazolin or Ceftriaxone;
- oral antibiotics;
- local antibiotics. In particular – Tsipromed, Otofa, Fugenin, Normaks, Fusafunjin spray, Norfloxacin. Such an antibiotic is dropped in the ear.
Antifungal agents are used to eliminate external otitis, that is, inflammation of the external ear canal, as well as the entire ear apparatus. When antifungal agents are not effective, antibiotics are used.
Symptoms of otitis externa:
- Itching in the ears, tenderness on examination.
- Congestion in the ears.
- Decrease in hearing.
- Discharge of pus from the ear canals.
- Swollen lymph nodes.
But if the treatment is delayed, as well as purulent otitis, prescribed internally:
- Ampicillin course for 5 days;
- Azithromycin 1 tablet, 2 times a day, on the first day. Next, 1 tablet, a course of 5 days;
- Nystatin course 14 days.
Important! If after taking the drug 3 days have passed, and there is no improvement, you need to change the drug to a stronger one.
Local treatment is carried out:
Is it possible to cure otitis media without antibiotics for a child? Perhaps, but if you ask for help immediately, or to prevent it from occurring. According to statistics of otolaryngological diseases, the acute form of otitis media is one of the most common and makes up about 30% of all diseases.
Otitis is a complication of ARVI. Therefore, the joined infection with ARVI needs to be “driven out” due to the antibiotic. The source of infection must be found by a doctor in order to choose the right drug.
Together with antimicrobials, antihistamines, bifidobacteria and probiotics can be prescribed to protect the gastrointestinal tract. Practice shows that children with otitis media, only in 10 cases out of 100 need to use an antibiotic.