Drops from otitis with antibiotic

Ear drops in otitis: how to choose a drop?

• Varieties
• How to instill

Ear drops in otitis are an effective treatment for an inflamed ear in the home.

However, first of all, the effectiveness of the drug depends on its correct choice and reasonable application. Not every medication can provide an invaluable local anesthetic and anti-inflammatory effect.

There is such an opinion that the treatment of otitis with drops of ear pain is completely harmless and safe. But it is not so.

Each drug has its own pharmacological features and actions that must be taken into account when treating a specific disease. A person far from medicine will find it difficult to independently, and most importantly, to understand. To avoid a positive effect instead of obtaining the directly opposite reaction, it is necessary to consult a specialist.

First, the otolaryngologist will need to establish an accurate diagnosis and determine the degree of neglect of the disease. And then the doctor will be able to give you the right treatment.

It is important to know

When untimely or incorrect treatment, otitis can easily go into a chronic form, and then without surgery can not do.

Treat inflammation of the middle ear most often in a complex, combining physiotherapy, the use of antibiotics, various ear-drops and ointments.

Especially effective in the treatment of otitis are special drops in the ears for children and adults. It is to the ear drops that doctors and patients prefer, hoping for a quick effect of removing pain and reducing inflammation in the ear. Read also "Sinuforte at Otitis".

Many immediately have a question: how to choose ear drops, because the pharmaceutical market is literally full of various drugs. If you did not contact a specialist, and decided to heal yourself (which is not very desirable), then always carefully study the instructions to the drug, or at least, if possible, consult a pharmacy with pharmacists. This will help you to properly determine the medication needed to treat an inflamed ear.

Remember

Choosing ear drops for otitis, in the first place, you need to know what kind of ear inflammation you have: external, middle or internal.

Ear drops from otitis come in several forms, depending on their action:

• antibacterial(for example, Tsipromed, Otofa, Normaks, etc.);
• drops with a combined component, containing glucocorticoids ("Dexon", "Anauran", "Sofraks", etc.);
• monopreparations, having anti-inflammatory non-steroid agents ("Otipax", "Otinum") in their composition.

Given all of the above factors, listed in the list, you can safely go to the pharmacy to pick up drops in your ears when you take otitis. Being at least minimally aware of the disease and the ways of its treatment, you will quickly recover and return to a full life without pain and discomfort.

Try to start treatment of otitis even in the early stages of its course. The main thing - always correctly choose and use drugs for inflammation of the ear, including ear drops for otitis. This will help you to achieve a speedy recovery without complications and other all kinds of negative processes in the body.

Drops in the ears with otitis for children and adults: which drops are most effective?

With regard directly to the choice of the drug, the benefits should be given to those medicines that have proved themselves as the most effective and safe for health.

Quite often the ENT doctor appoints to his patients such drops in the ears at the otitis, like "Otofa", "Anauran" or "Otipaks", "Otofa" and many others.

These medicines have positively proven themselves in the fight against otitis media. Therefore, we will consider in more detail the instruction for the use of each of the three above mentioned preparations.

Treatment of otitis Otipaksom

Drops Otypaks are a drug with a double effect: analgesic and anti-inflammatory. The pharmacological agent is administered only topically.

Bury Otypaks in the ears should be 3-4 drops twice or thrice a day. If the bottle with droplets is cold, then just warm it in your hands. The course of treatment with this drug is 10 days.

Drops from Otipaks otitis are safe enough if they are applied correctly: do not exceed the dosage and do not use at the end of the expiration date. Even pregnant women and women can apply the drug during lactation, only if they have no signs of damage to the tympanic membrane. To everyone who has a perforation of the tympanic membrane, the drug is contraindicated. It is not recommended to use Otipax also in case of hypersensitivity to the components of the medication.

Of the side effects of the drug sometimes observed hyperemia and irritation of the auditory canal, as well as allergic reactions.

It is worth noting

Information on the interaction of Otipax with other drugs is not available at this time, therefore without consulting an otolaryngologist, use the drug in combination with other drugs is not recommended.

Anauran in otitis media: dosage and method of administration

The drug Anauran has a pronounced local anesthetic and antiviral effect. Such ear drops are prescribed for inflammation of the ear and only for topical application. The most effective Anauran in the treatment of acute and chronic forms of external otitis media, with chronic exudative otitis media, as well as with average otitis without signs of perforation of the tympanic membrane.

Sometimes drops in the ears of Anauran are prescribed to patients with complications after surgery, as well as to people who have suffered anthotomy, tympanoplasty, fenestratsiyu and mastoidectomy.

How correctly to drip drops from an otitis in ears? It is necessary to dig in them with the help of a special pipette and only in the external ear canal. It is advisable that immediately after instilling the head for a while was slightly inclined. Duration of the course and dosage of the drug should be determined only by a doctor, depending on the severity of the disease.

However, classically the drug is used as follows: children drip 2-3 drops of Anauran at least 3-4 times a day, the dosage for adults is 4-5 drops 2-3 times a day. Usually, the auricle is not recommended for longer than a week. However, an increase in the duration of the course is possible if the doctor sees this as a necessity.

As for the side effects of Anauran, they are:

• hyperemia;
• itching and flaking of the skin of the auditory external passage.

If the drug is used for a long time, other side effects are possible, for example, increasing the systemic absorption of active components, and also development of nephrotoxic and ototoxic action of neomycin (antibiotic in otitis of a wide spectrum of action contained in the formulation).

Such drops from otitis for children are not provided if the child is under 1 year old. It is also not recommended to use a pharmaceutical agent for people with hypersensitivity to the components of ear drops Anauran.

It is important to know

With extreme caution, the drug should be taken during pregnancy and during lactation. The use of drops during this period is possible only after consulting a specialist.

You can not combine drops of Anauran otitis with medication such as netilmicin, gentamicin, streptomycin, amikacin and monomycin. They only increase the ototoxic effect of the drug.

Otoze ear drops: how to use

This drug (antibiotic), like many other drops from otitis, is used exclusively locally. Drops in the ears of Otofa act on the areas of the sore ear as an antibacterial agent.

Bury children need no more than 3 drops 3 times a day (or you can pour a drop of a minute into the 2 in the ear canal). Drops from otitis in adults have their own dosage. Adults used to dig in 5 drops three times a day (or pour the medicine for a couple of minutes in the ear).

Both for adults and children, the treatment course for Otofo is 7 days. It is possible that the duration of the course of treatment will vary depending on the severity of the course of the disease. Otofu can be attributed to the relatively inexpensive pediatric ear drops used for otitis.

However, this recommendation can only give an experienced otolaryngologist.

It is worth noting

Before instillation the bottle must be warmed in the hands, so that the drops are not cold.

The drug in use is safe enough and practically does not cause side effects. The only negative consequence after the application of drops may be an allergy, but this symptom is very rare.

The drug has only one contraindication - increased sensitivity to the component of ear drops rifamycin. With regard to the period of pregnancy and lactation, then to say about the effects of the drug on the woman's body in these periods is quite difficult, because no special clinical study of the drug was conducted.

It is important to know

Any of the drugs should be prescribed only by a specialist. Drops in the ears with otitis alone is not recommended, because one treatment at home may not be enough. A prolonged course of the disease with the reception of the wrong drugs can only promote the rooting of the disease in the human body.

Drops from otitis: how correctly to dig in a sick ear?

Drops from otitis - an effective and effective way to treat the inflammatory process in the ear. However, if you use ear drops incorrectly, the effect can be directly opposite. To avoid this, it is necessary to devote only a little time to studying the rules of instilling a patient ear. And then a positive result can not be avoided.

Rules of instillation of the ear in otitis:

• It is necessary to lie on one side so that the sick ear is up.
• Bury the drops in the ear, pulled by the lobes down and back.
• The drug is strongly recommended to be warm, but not hot (ideal temperature will be the temperature of drops at normal body temperature).
• Before dropping the drops from the otitis into the ear, the dropper should be lowered into boiling water to make it warm.
• It is not advisable to heat the whole bottle with drops, since the drug can quickly deteriorate.
• The instillation of drops into the ear should be indirect, that is, it is necessary to drip as follows: first insert into the ear a cotton turunda, then carefully put it into the ear external passage and only after that you can start digging in the ear. Direct instillation can be very dangerous, especially if the tympanic membrane is damaged. In the future, such imprudence can lead to deafness.

To treat otitis was the most successful, you need to consider a variety of factors, ranging from the degree of neglect of the disease and ending with the rules of instillation of the ears.

The use of droplets from otitis for topical use is considered by ENT doctors as an additional treatment, so it is not necessary to rely on adults or children's drops in the ears. Only their combination with antibacterial and anti-inflammatory drugs will help you, in the end, get rid of otitis.

gajmorit.com

How to treat external otitis depending on the causes of its appearance

The outer ear is the outer part of the hearing aid. Its border from the middle ear lies through the tympanic membrane.

Otitis of the outer ear in common speech is called "swimmer's disease".

This name has arisen because of this disease among swimmers, as a group of high-risk.

In the summer season, the disease of the external ear manifests itself most often.

How to treat external otitis depends on the nature of its occurrence. External otitis media is divided into an infectious and non-infectious disease.

Infectious otitis media:

• inflammation of the cartilage of the ear (perichondritis);
• herpes in the auricle;
• furuncle;
• erysipelas.

Non-infectious otitis media:

• eczema;
• otomycosis - fungal infection;
• otalgia - nerve damage;
• atresia - a birth defect;
• exostosis - bone growth.

Before deciding how to treat external otitis, it is necessary to find out the cause that led to the disease. Then, with the help of treatment, to eliminate this cause or its consequences, to take preventive measures to avoid recurrence of the disease.

Often, the penetration of the causative agent of the external ear disease occurs for the following reasons:

• damage (injury);
• presence of foreign body;
• hit of an aggressive chemical;
• improper ear hygiene;
• independent extraction of sulfuric cork;
• constant moistening of the ear of water falling into it;
• combing the ear with itching dermatosis and diabetes mellitus;
• decreased immunity;
• chronic diseases: tonsillitis, pyelonephritis, syphilis, tuberculosis, etc .;
• severe exhaustion (chronic fatigue);
• avitaminosis.

The cause of external otitis may be a complication of otitis media of the middle ear.

External otitis media can be caused by:

• Staphylococcus aureus;
• a hemophilic rod;
• pneumococcus;
• Pseudomonas aeruginosa;
• mora sella;
• fungus candida.

Depending on the etiology of the disease of the external ear, treatment is prescribed accordingly.

The methods of exposure can be as follows:

• antibiotics;
• antifungal agents;
• anti-inflammatory drugs;
• folk remedies.

The use of antibiotics and ear drops with external otitis. Treatment with folk remedies

In case of external ear disease, an outpatient examination is performed.

After diagnosing the disease, it is determined how to treat external otitis media.

A drug is prescribed for otitis in the form of antibiotics and ear drops.

Folk remedies are offered as an auxiliary treatment. Often in the treatment of external otitis resort to folk remedies. For example, boric acid is buried in the ear. The use of this tool requires caution, so be sure to consult with your doctor, whether it is appropriate for you to use this tool.

External otitis media. Treatment with antibiotics.

Treatment of external otitis with antibiotics is prescribed if the disease has become acute or chronic, In a place where it is localized purulent contents appear, when the ear pain does not pass and the acuity of hearing decreases.

For the treatment of external otitis, the following antibiotics are used:

• Ampicillin. For adults - , gr. per day for 2-6 receptions. Children - at the rate of 100 mg / kg.
• Oxacillin. For adults - 2, 4 gr. per day for 4 hours. Up to 6 years - based on age and weight.
• Amoxicillin. For adults - , gr. per day for 3 hours. Children - , 25-, 5 gr.
• Cefazolin. For adults - , 5-1 gr. in 6-8 hours. For children - 20-50 mg.
• Cephalexin. For adults - , 5-, gr. per day for 4 hours.
• Agumentin. For adults - , 5-2 gr. per day for 2-4 admission.

In addition to taking antibiotics in the form of tablets, injections and ear drops with antibiotics can be prescribed. What are the best antibiotics to take and in what dose, the doctor should decide.

Ear drops with external otitis.

Ear drops are prescribed depending on the nature of the disease and can be of the following types:

• Corticosteroids- rapid removal of inflammation.
• With antibioticsTreatment of bacterial infection.
• Antifungal- elimination of fungal infection.
• With boric acid- Destruction of pathogenic bacteria.

The most common ear drops with external otitis:

• Otypax: 3-4 drops / 2-3 procedures per day - eliminates inflammation, itching and pain, is a good antiseptic.
• Otofa: 3-5 drops / 3 procedures per day (treatment no more than three days) - destroys bacteria such as staphylococcus aureus, streptococcus.
• Anauran: 3-5 drops / 3 procedures per day - antiseptic, relieves inflammation, fights against microbes.
• Otinum: 3-4 drops / 4 procedures per day - has anti-inflammatory effect, relieves pain.
• Sofradex: 2-3 drops / 4 procedures per day - has anti-inflammatory and antimicrobial effect.

Burying in the ear is done after a preliminary cleansing of the auricle with the help of cotton buds. The procedure is better to hold lying on its side. After instillation - lie down a bit, giving the drug to penetrate into the inside of the ear.

External otitis media. Treatment with folk remedies.

Treatment is carried out in the form of instillation, putting tampons in the ear with medicine, applying warming compresses. For the treatment of external otitis folk remedies are used infusions of herbs, juice of medicinal plants, oils.

Than to treat an external otitis in the form of instillation:

• onion juice;
• tincture of mint leaves;
• tincture of calendula;
• tincture of cranberry leaves;
• tincture of juniper berries;
• decoction of laurel leaves;
• a mixture of juice of garlic and olive oil;
• horseradish juice.

It is worth noting

If the focus of the disease is outside, then instead of the instillation procedure, you can put a swab dipped in the medication in the ear concha.

Heating compresses are made primarily by heating alcohol or vodka to 40 degrees.

Compress is done as follows:

• attach gauze moistened with alcohol to your ear;
• pass the ear into the previously cut in the middle;
• apply polyethylene and cotton wool layer;
• fix the compress with a bandage.

Only the doctor will tell you how to treat external otitis. Treatment with folk remedies is ancillary, but, like the main one, requires expert advice.

gajmorit.com

Symptoms and treatment of otitis in adults

Content:

• Ear anatomy
• Causes of otitis media
• Pathogens of the disease
• The clinical picture is the symptoms of otitis
• General principles of diagnosis
• Treatment of external otitis media
• Treatment of otitis media and labyrinthitis in adults
• Prevention of otitis

Otitis is an ear inflammation, a general term for any infectious processes in the hearing organ. Depending on the affected area of ​​the ear, the outer, middle and inner otitis (labyrinthitis) are secreted. Otitis occurs frequently. Ten per cent of the world's population suffered from external otitis during their lifetime.

Annually in the world 709 million new cases of acute otitis media are registered. More than half of these episodes occur in children under 5 years of age, but adults also suffer from inflammation of the middle ear. Labyrinthitis, as a rule, is a complication of otitis media and is relatively rare.

Ear anatomy

For a better understanding of the subject, it is necessary to briefly recall the anatomy of the organ of hearing.
The components of the outer ear are the auricle and auditory canal. The role of the external ear is to trap the sound wave and carry it to the eardrum.

The middle ear is the tympanic membrane, the drum cavity containing the chain of auditory ossicles, and the auditory tube.

In the tympanic cavity, there is an increase in the sound vibrations, after which the sound wave follows the inner ear. The function of the auditory tube connecting the nasopharynx and the middle ear is the ventilation of the tympanum.

The inner ear contains the so-called "cochlea" - a complex sensory organ in which sound vibrations are converted into an electrical signal. An electrical impulse follows the auditory nerve into the brain, carrying coded information about the sound.

External otitis media

Otitis externa is an inflammation of the auditory canal. It can be diffuse, and can proceed in the form of a furuncle. When diffuse external otitis affects the skin of the entire ear canal. Furuncle is a limited inflammation of the skin of the external ear.

Average otitis media

With an average otitis inflammation occurs in the tympanum. There are many forms and variants of the course of this disease. It can be catarrhal and purulent, perforative and non-perforative, acute and chronic. When otitis can develop complications.

The most common complications of otitis media include mastoiditis (inflammation of the occipital bone of the temporal bone), meningitis (inflammation of the brain membranes), abscess (abscess) of the brain, labyrinthitis.

Labyrinthite

Internal otitis almost never is an independent disease. Almost always it is a complication of the inflammation of the middle ear. Unlike other types of otitis, its main symptom is not pain, but hearing loss and dizziness.

Causes of otitis media

• After getting contaminated water - most often the external otitis occurs after the ingestion of water containing the causative agent of the disease into the ear. That is why the second name of this disease is "swimmer's ear".
• Injury of the skin of the external auditory canal - in addition to the presence of infection in the water, there must also be local conditions predisposing to development inflammation: microcracks of the skin, etc. Otherwise, every contact with unboiled water would result in the development of inflammation in the ear.
• Complication of SARS, sinusitis - in this case, the causative agent of middle otitis penetrates into the tympanum completely from the other side, the so-called rhinotubar path, that is, through the auditory tube. Usually, the infection gets into the ear from the nose, when a person is sick with ARVI, runny nose or sinusitis. In case of a serious inflammation of the middle ear, the infection can spread to the inner ear.
• With infectious diseases, kidney diseases, diabetes mellitus, hypothermia against a background of reduced immunity, the risk of inflammation in the middle ear increases. Bruising through 2 nostrils (wrong), coughing and sneezing increase the pressure in the nasopharynx, which leads to the ingress of infected mucus into the middle ear cavity.
• Mechanical removal of earwax - it is a protective barrier against infections.
• High air temperature and high humidity.
• Contact with foreign objects in the ear.
• Use of hearing aids.
• Such diseases as seborrheic dermatitis on the face, eczema, psoriasis.
• The causes of development of acute otitis media are also genetic location, immunodeficiency states, HIV infection.

Pathogens of the disease

Pathogens of external otitis can be bacteria or fungi. Especially often found in the ear canal are microorganisms such as Pseudomonas aeruginosa and staphylococcus aureus. For the fungi of the genus Candida and Aspergillus, the skin of the ear canal is one of the favorite places in the body: it's dark, and after bathing it's still wet.

The causative agents of otitis media, and therefore internal, can be viruses and bacteria. Fungal infection of the middle ear is also found, but much less often than the external one. The most common bacterial pathogens of otitis media are pneumococcus, hemophilic rod, moraxella.

The clinical picture is the symptoms of otitis

• Pain is the main symptom of otitis media. The intensity of pain can be different:
  • from barely perceptible to unbearable
  • character - pulsing, shooting

  It is very difficult, it is often impossible to independently distinguish painful sensations with external otitis from painful sensations with inflammation of the middle ear. The only clue can be the fact that with external otitis pain should be felt when touching the skin at the entrance to the ear canal.

• Hearing loss is a fickle symptom. It can be present with both external otitis media, and with an average, may be absent in both these forms of ear inflammation.
• Increase in temperature - most often there is an increase in body temperature, however, this is also an optional feature.
• Discharge from the ear with external otitis occur almost always. After all, nothing prevents the inflammatory fluid from escaping outward.

With the average otitis, if the perforation (hole) is not formed in the tympanic membrane, there is no secretion of their ear. The suppuration from the ear canal begins after the appearance of a communication between the middle ear and the auditory meatus.

I emphasize that perforation can not be formed even with purulent otitis. Patients suffering from otitis media often ask where pus will go if it does not break out. It's very simple - he will go out through the auditory tube.

• Ear noise (see Fig. causes of noise in the ears), ear congestion is possible with any form of the disease.
• When the inflammation of the inner ear develops, dizziness (causes) may appear.

Acute otitis media occurs in 3 stages:

Acute catarrhal otitis - the patient experiences severe pain, which increases by night, when coughing, sneezing, she can give in the temple, teeth, be stabbing, pulsating, drilling, hearing loss, appetite, weakness and high temperature up to 39C.

Acute purulent otitis - there is accumulation of pus in the middle ear cavity, followed by perforation and suppuration, which may be on day 2-3 of the disease. In this period, the temperature drops, the pain decreases, the doctor can make a small puncture (paracentesis), if there is no independent rupture of the tympanic membrane.

Restorative stage - suppuration stops, the defect of the tympanic membrane closes (fusion of the edges), the hearing is restored within 2-3 weeks.

General principles of diagnosis

In most cases, the diagnosis of acute otitis media does not cause difficulties. High-tech methods of research are needed infrequently, the ear is well visible to the eye. The doctor examines the tympanic membrane with a head reflector (a mirror with a hole in the middle) through the ear funnel or a special optical device - the otoscope.

An interesting device for the diagnosis of otitis was developed by the famous corporation Apple. It is an oscopic attachment for the camera phone. It is assumed that with the help of this gadget, parents will be able to photograph the baby's eardrum (or their own) and send photos for consultation to their doctor.

Diagnosis of external otitis media

Examining the ear of a patient suffering from external otitis, the doctor sees redness of the skin, narrowing of the auditory canal and the presence of liquid secretions in its lumen. The degree of narrowing of the ear canal is such that the tympanic membrane is not visible at all. When inflammation of the external ear of other examinations except for the inspection is usually not necessary.

Diagnosis of otitis media and labyrinthitis

In acute inflammation of the middle ear, the main way to establish a diagnosis is also an examination. The main signs that make it possible to diagnose "acute otitis media" are reddening of the tympanic membrane, limitation of its mobility, and the presence of perforation.

• How is the mobility of the tympanic membrane checked?

People are asked to inflate their cheeks without opening their mouths, that is, "blowing their ears". This reception is called the maneuver of Valsalva, named after the Italian anatomist, who lived at the turn of the 17th and 18th centuries. It is widely used by divers and divers to equalize the pressure in the drum cavity in deep water descent.

When a jet of air enters the middle ear cavity, the eardrum moves slightly and this is noticeable with the eye. If the drum cavity is filled with inflammatory fluid, no air will enter it and the eardrum will not move. After the appearance of suppuration from the ear, the doctor can observe the presence of perforation in the tympanic membrane.

• Audiometry

Sometimes to determine the nature of the disease may need audiometry (hearing on the apparatus) or tympanometry (measurement of pressure inside the ear). However, these methods of hearing tests are more often used in chronic otitis media.

The diagnosis of the labyrinthitis is usually made when the acuteness of the middle otitis suddenly sharply decreases acuteness of the hearing and dizziness appears. Audiometry in this situation is mandatory. You also need an examination of a neurologist and an oculist.

• CT and X-ray

The need for X-ray studies occurs when there is a suspicion of complications of the disease - mastoiditis or intracranial infection. Fortunately, such cases are rare. In a situation where complications are suspected, a computer tomography of the temporal bones and brain is usually performed.

• Bacterial sowing

Do I need a smear to determine the bacterial flora? A unequivocal answer to this question is not easy. The problem is that, due to the peculiarities of bacterial culture, the response of this examination will be received 6-7 days after the removal of the smear, that is, by the time when the otitis is almost gone. Moreover, with a medium otitis without a perforation, a smear is useless, since the microbes are behind the tympanic membrane.

And yet a smear is better to do. In the event that the application of the first-line drug does not bring recovery, after receiving the results of a bacterial study, treatment can be adjusted.

Treatment of external otitis media

The main treatment for external otitis media in adults is ear drops. If a person does not have immunodeficiency (HIV infection, diabetes mellitus), antibiotics in tablets are usually not needed.

Ear drops can contain only an antibacterial drug or be combined - have an antibiotic and an anti-inflammatory substance. The course of treatment takes 5-7 days. Most often for the therapy of external otitis media apply:

Antibiotics:

• Ciprofarm (Ukraine, ciprofloxacin hydrochloride)
• Normax (100-140 rubles, norfloxacin)
• Otofa (170-220 rubles, rifamycin)

Corticosteroids + antibiotics:

• Sophradex (170-220 rub., Dexamethasone, Framicetin, gramicidin)
• Candybiotic (210-280 rub., Beclomethasone, lidocaine, clotrimazole, Chloramphenicol)

Antiseptic:

• Miramistin (250-280 rubles, with a nebulizer)

The last two drugs also have antifungal properties. If the external otitis has a fungal origin, antifungal ointments are actively used: clotrimazole (Candide), natamycin (Pimafucin, Pimafucort).

In addition to ear drops, the doctor can recommend an ointment with the active substance Mupirocin (Bactroban 500-600 rub, Supirocin 300 rubles) for the treatment of external otitis media. It is important that the drug does not have a negative effect on the normal skin microflora, and there are data on the activity of mupirocin against fungi.

Treatment of otitis media and labyrinthitis in adults

Antibiotic therapy

The main treatment for middle otitis media is an antibiotic. However, the treatment of otitis antibiotics in adults is another controversial issue of modern medicine. The fact is that with this disease is very high percentage of self-recovery - more than 90%.

There was a period of time in the late 20th century, when on a wave of enthusiasm antibiotics were prescribed to almost all patients with otitis. However, it is now considered permissible the first two days after the onset of pain to dispense with antibiotics. If after two days there is no tendency to improve, then an antibacterial drug is already prescribed. For all types of otitis media may be required for oral administration.

In this case, of course, the patient must be under medical supervision. The decision on the need for antibiotics is very responsible and should only be taken by a doctor. On the scales on the one hand, the possible side effects of antibiotic therapy, on the other - the fact that every year in the world of complications of otitis deaths of 28 thousand people.

The main antibiotics, which are used in the treatment of otitis media in adults:

• Amoxicillin - Ospamox, Flemoxin, Amosin, Ecobol, Flemoxin solute
• Aamoxicillin with clavulanic acid - Augmentin, Flemoclav, Ecoclav
• Cefuroxime - Zinnat, Aksetin, Zinacef, Cefurus and other drugs.

The course of antibiotic therapy should be 7-10 days.

Ear drops

Ear drops are also widely prescribed for inflammation of the middle ear. It is important to remember that there is a fundamental difference between drops, which are prescribed before the perforation of the tympanic membrane and after its appearance. Let me remind you, the sign of perforation is the appearance of suppuration.

Before the appearance of perforation, droplets with an analgesic effect are prescribed. These include drugs such as:

• Otinum - (150-190 rub) - choline salicylate
• Otipaks (220 rubles), Otirelaks (140 rubles) - lidocaine and phenazone
• Otizol - phenazone, benzocaine, phenylephrine hydrochloride

Drops with an antibiotic does not make any sense to dig in this phase, as the inflammation goes behind the impenetrable eardrum for them.

After the appearance of the perforation, the pain passes and it is no longer possible to drip painkillers, as they can damage the sensitive cells of the cochlea. When a perforation occurs, access for drops inside the middle ear appears, so you can instill drops containing an antibiotic. However, ototoxic antibiotics (gentamicin, Framicetinum, Neomycin, Polymyxin B), preparations containing phenazone, alcohols or choline salicylate can not be used.

Drops with an antibiotic, the use of which is acceptable in the treatment of otitis in adults: "Tsiprofarm", "Normaks", "Otofa", "Miramistin" and others.

Paracentesis or tympanotomy

In some situations with inflammation of the middle ear may need a small surgical intervention - paracentesis (or tympanotomy) of the tympanic membrane. It is believed that the need for paracentesis arises, if the background of antibiotic therapy for three days, the pain still continues to bother the person. Paracentesis is performed under local anesthesia: a special incision in the tympanic membrane makes a small incision through which pus begins to exit. This incision is beautifully overgrown after the cessation of suppuration.

Treatment of labyrinthitis is a complex medical problem and is conducted in a hospital under the control of an ENT doctor and neurologist. In addition to antibiotic therapy, funds are needed to improve microcirculation inside the cochlea, neuroprotective drugs (protecting the nervous tissue from damage).

Prevention of otitis

Preventive measures for external otitis are the thorough drying of the ear canal after bathing. Also, avoid traumatizing the ear canal - do not use keys and pins as an ear instrument.

For people who often suffer from inflammation of the external ear, there are drops based on olive oil, which protect the skin when swimming in a pond, for example, "Vaxol".

Prevention of otitis media consists of general strengthening measures - hardening, vitamin therapy, administration of immunomodulators (drugs that improve immunity). It is also important to treat diseases of the nose in a timely manner, which are the main causative factor in inflammation of the middle ear.

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Ear drops with antibiotic: price, description, reviews

With the development of the inflammatory process in the ear, it is almost always necessary to use antibacterial agents to eliminate the causative agent of pathology. One of the most effective drugs are ear drops with antibiotics, which allow to fight the disease at home. It is necessary to understand what kinds of these medicines exist and how to make the right choice.

When are drops for the ears with an antibiotic?

Preparations containing antibacterial substances, counteract the development of inflammatory processes of infectious etiology. Therefore, they are most often used to treat such a disease as otitis media of the middle and outer ear. The disease can cause a lot of unpleasant sensations, and in the absence of adequate therapy - serious complications.

It should be borne in mind that ear drops with antibiotic in the composition can cope only with bacteria and are absolutely ineffective in viruses and fungi. Determine the cause, which caused inflammation, and pick up the appropriate medicine can only the doctor-otolaryngologist. In some situations, treatment without bactericidal agents is possible, but only a specialist should take this decision.

How to identify otitis media?

Otitis is a common disease in both adults and children. Children under three years of age suffer from an ailment much more often, because the Eustachian tube is much shorter, which simplifies the penetration of infection from the nasopharynx. Depending on which department was affected, distinguish between external, middle and inner type of otitis.

A characteristic symptom is the pain that the patient will experience when pressing on the auricle and the tragus (cartilage located at the entrance to the ear aperture). In severe cases pus from the ear begins to appear, a swelling appears, and hearing decreases. The average otitis differs by shooting pain and the appearance of itching in the ear canal. Often the body temperature rises, there is a strong headache, weakness.

The most difficult is labyrinthitis - internal otitis media. It is characterized by the following symptoms:

• Partial or complete hearing loss.
• Attacks of nausea and vomiting.
• Severe dizziness.
• Sharp pain in the ear.
• High fever, fever.

If these symptoms occur, you should immediately contact the otolaryngologist and do not perform any medical manipulations yourself, for example, burying boric alcohol in your ears.

Treatment of otitis with drops with antibiotic

If the child has an otitis of bacterial origin, ear drops with an antibiotic are the main way of treatment. Parents who doubt the need for this type of medication should realize that otherwise the baby faces serious complications, including hearing loss. Drops will help to get rid of pathogenic microorganisms.

Regardless of the age of the patient, the ear drops containing the antibacterial component should be prescribed by the doctor after the examination. When choosing, the nature of the course of the disease and the particular application of the medicine are taken into account. Adult patients sometimes require an additional intake of antibiotics in the form of tablets. In a complex such therapy will give a positive result and eliminate the cause and symptoms of otitis.

Types of drops

In the pharmaceutical market ear drops are classified into groups:

• Monocomponent- the main active ingredient in such medications is an anti-inflammatory non-steroidal drug in combination with an anesthetic. To such preparations belongs "Отинум".
• Antibacterial- contain antimicrobial components that allow effective control of the bacterial pathogen of otitis media. Such ear drops, like "Otofa", "Normaks", "Tsipromed", are prescribed for severe pathology.
• Combined- Such a drop possesses a strong therapeutic effect due to the content of glucocorticoid components in them. They can be prescribed as part of a comprehensive treatment for bacterial otitis. This group of funds includes drops of "Anauran", "Polidex", "Sofreks".

To treat otitis, the most reliable remedy are ear drops with an antibiotic. The price of drugs of this category ranges from 200 to 350 rubles. Cost is one of the criteria of choice, but do not forget that even the most expensive medicine can be absolutely ineffective if the appointment was not made by a specialist.

Drops of "Anauran"

The composition of the combined agent includes several antibacterial components - neomycin sulfate and polymyxin B. The drug is considered one of the most effective in its group. It is prescribed for inflammation in the external and middle ear (including purulent complications), and also as a prophylaxis after surgery. Ear drops with the antibiotic "Anauran" have an analgesic effect due to the lidocaine included in the composition.

The drug's instruction says that drops are rarely prescribed for the treatment of otitis in infants. Apply "Anauran" only in case of emergency and under the constant supervision of a doctor. As evidenced by the opinions of specialists, a strong antibiotic is well tolerated by children over 1 year old and adults. The cost of drops is 280-300 rubles.

Ear drops "Otofa" with antibiotic

Means for treatment of otitis local action "Otofa" (drops) contains antimicrobial component rifamycin. The French drug affects gram-positive and gram-negative bacteria. Minimal absorption of the drug allows it to be used for patients of any age category, pregnant and lactating women. Drops are often prescribed in the absence of bacterial sensitivity to antibiotics from the group of penicillins and cephalosporins.

Reviews of the drug from patients and doctors are exceptionally positive. The tool allows you to get rid of shooting pain in otitis and restores hearing on the second day of use. Like any antibacterial drug, Otofa drops have some side effects in the form of itching, minor redness and peeling of the ear aperture. The only contraindication to the use of the drug is the individual intolerance of the ingredients.

Ear drops "Otipaks"

The development of otitis in infancy is not uncommon. Therefore, each parent needs to know that the most suitable means for the youngest is Otypax. It is a combined preparation consisting of an anti-inflammatory component of phenazone and an anesthetic - lidocaine. In cases of severe pain syndrome accompanying external and middle otitis, these ear drops are prescribed. With the antibiotic "Otipaks" has nothing to do, which allows you to use the medicine for newborn babies, during lactation and pregnancy.

Drops, according to reviews, are well tolerated by patients, and only rarely cause an allergic reaction. The burning sensation and itching, which sometimes occur during the initial application, pass in a few minutes and do not serve as a reason for the withdrawal of the medicine. The price of "Otypaks" drops is 180-230 rubles.

Ear drops (with antibiotic): "Sofradex" and "Tsipromed"

Middle otitis can lead to perforation of the tympanic membrane, which makes it impossible to use some bactericidal drugs. Therapy in this case should be aimed not only at eliminating pathogenic microorganisms, but also contributing to the healing of the damaged membrane. Ear drops with antibiotic "Tsipromed" represent a group of fluoroquinols and can be used for severe otitis media with perforation. The active ingredient is ciprofloxacin. Use it during pregnancy, lactation and children under 1 year is prohibited.

"Sofreks" - effective ear drops with antibiotic, which are related to combined drugs. The preparation contains two antimicrobial substances - Framicetin and gramicidin. The glucocorticosterone component of dexamethasone provides an anti-inflammatory effect and relieves allergy symptoms. This strong antibacterial drug can not be used in the perforation of the tympanic membrane. Effective bactericidal substances have a negative effect on the auditory nerve and can lead to complete hearing loss.

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Otitis of the middle ear: treatment with drops, antibiotics. Otitis media of the middle ear: chronic, catarrhal, acute, purulent

The ear is a very important sense organ, and if it gets sick, then the world is not nice to the person. Naturally, pathologies are different, but some are rare, others are not. Quite often people suffer from such a disease as the otitis media of the middle ear. Treatment of this pathology should be comprehensive. That is, you must not only eliminate the symptoms, but also get rid of the underlying cause that caused the development of the problem.

What characterizes the disease?

So, the otitis media of the middle ear, whose treatment the doctor should prescribe, is an inflammation that is localized between the inner ear and a thin film (the tympanic membrane). This pathology most often affects children, as well as people with very weak immunity, diabetes and some other chronic problems.

It must also be said that infection can develop due to the fact that a person does not cure otitis externa. In children, the disease appears due to imperfections in the structure of the hearing aid. And it can cause any reasons, even the most "harmless". Naturally, it is necessary to choose the right methods of treatment, which the doctor will tell. Otherwise, inflammation can lead to serious consequences (partial or total loss of hearing and others).

The causes of the appearance of pathology

Otitis of the middle ear, whose treatment is not only treated with antibiotics, arises for certain reasons. Among them there are such:

1. Respiratory viral pathologies (influenza, pharyngitis, laryngitis, sinusitis, and others).

2. Penetration of infection due to any ear trauma.

3. Overcooling and sudden pressure drops.

4. Dirty water enters the ear (during bathing or washing).

5. Other diseases that lead to a decrease in immunity.

Symptomatology

Now let's look at the signs that the disease has. If you have otitis media, treatment should be started only after a thorough examination of the doctor who will make an accurate diagnosis. It is not necessary to fight the disease independently, as this can lead to undesirable consequences. As for the symptoms of pathology, they can be:

- Pain sensations in the ear, which can have a pulsating or aching character.

- Muffled hearing, as well as a feeling of stuffiness.

- Feeling of noise in the ears.

- Increase in temperature, and significant.

If the disease is started, then pus can flow out of the hearing organ, while the tympanic membrane is torn. As for the pain, it can intensify overnight, and it gives even to the teeth, the head. A person can not practically sleep, his appetite is gone, his work capacity is significantly reduced. Symptomatic of the pathology is reddening and swelling of the tympanic membrane. However, you will not see this sign on your own, only a doctor can recognize it.

Varieties of pathology

The average otitis of the ear, which is treated under the supervision of a specialist, can be of different types:

1. Acute. It develops after infection enters the body. Most often it is caused by acute respiratory diseases.

2. Purulent. It is accompanied by unpleasant secretions of a greenish or yellowish hue from the ear.

3. Chronic purulent otitis. It develops if the acute form has not been fully cured. This form of pathology can last for several weeks or more. In this case, hearing can greatly deteriorate.

4. Serous otitis media. It is characterized by sucritic discharge from the ear.

Symptomatic in all cases is almost the same, so in any case you will need to consult a doctor.

How to diagnose a disease correctly?

If you think that you have an otitis media, you can start treatment only after seeing the doctor. For accurate diagnosis, not only your complaints and a list of symptoms will be required. The fact is that these signs are not specific and can talk about another disease.

Further, the doctor performs palpation of the ear and examines its internal part with a special medical device (otoscope). Naturally, during the examination he is obliged to take into account the patient's age, to note any features of the structure of the hearing aid, to fix the condition of the lymph nodes.

On a mandatory basis, the patient must submit blood tests, in which some indicators will be overestimated if the pathology is confirmed (ESR). Naturally, the doctor should check your ears and the mobility of the eardrum. If a person is suspected of any complications associated with otitis, then he may be assigned a radiographic examination. During the examination, not only the mobility, but also the position, as well as the color and condition of the tympanic membrane are taken into account.

Complications of pathology

If you have acute otitis media of the middle ear, treatment should be started immediately. The fact is that the disease is characterized by a high probability of complications. First of all, the acute form with improper therapy can quickly go into purulent and chronic. In this case, you will constantly suffer from a disease of the ears.

In addition, during the development of the disease, the mobility of the tympanic membrane may deteriorate, or it breaks. This provides hearing loss or hearing loss. This function can not always be restored. That is, the patient has a new problem: acquired deafness, which significantly worsens the quality of his life.

The consequence of otitis may be damage to the auditory nerve. And still it is necessary to allocate such complications of the presented pathology:

1. Mastoiditis. In this case, the mastoid process is affected. This disease already requires a surgical operation.

2. Purulent meningoencephalitis. When he is affected by the brain.

3. Labyrinth.

4. Sepsis.

The last complication can lead to a lethal outcome, therefore, otitis requires comprehensive and thorough treatment.

Features of treatment of different forms of otitis media of the middle ear

Now consider the main question: "How to get rid of this pathology quickly and effectively?" It all depends on the type of disease, as well as the degree of its development. If you have acute purulent otitis media of the middle ear, treatment involves the use of antibiotics. You will need to consume medicines for about 7 days. Naturally, the patient will also have to clear his ear from pus with cotton turunds moistened with hydrogen peroxide. However, to carry out this procedure should be very careful not to push the unpleasant discharge deeper. As for the treatment with heat, then with a purulent form of pathology it can not always be used. That is, do not put the hot-water bottle on the ear. Perhaps the doctor will prescribe other physiotherapy procedures. If you have viral otitis media of the middle ear, antibiotic treatment will not help. Here it is necessary to eliminate the root cause of the disease.

In the case of severe pain, a person can be prescribed special drops that not only relieve the symptom, but also fight infection. Sometimes the doctor prescribes tablets or suspensions. If you have otitis media, treatment (the drops are desirable in this case) must be comprehensive. That is, you first need to know the cause of the development of pathology. As far as medications are concerned, the most effective drugs for today are Sophradex, Dexamethasone, Otipax, Otisol. Note that the ear drops must be heated to room temperature before use. In addition, these drugs can not be used if the tympanic membrane is damaged.

If a person has catarrhal otitis media of the middle ear, the treatment involves the use of antipyretic agents and expectant management. If after a few days the pathology began to develop further, it means that the patient is prescribed vasoconstrictive drops in the nose, dry thermal procedures.

With purulent otitis, the doctor can pierce the eardrum himself, so that the contents can come out. Sometimes, in order to minimize discomfort during the operation, a local anesthetic can be made to the patient. Physiotherapy methods are very good: ultraviolet light, UHF and laser procedures.

Features of surgical and folk treatment

If the patient is diagnosed with otitis media, symptoms (treatment is not only based on them) are a very important signal for a visit to the doctor. Sometimes in the case of ineffectiveness of conservative therapy, the ENT is forced to resort to a surgical operation. This procedure is especially important when there is a threat of pus penetration into the brain.

The most important action performed by the surgeon is the elimination of secretions from the ear cavity. The operation is performed in two ways:

1. Opening of the tympanic membrane and removal of pus by means of a special syringe or catheter.

2. Anthotomy. It can be done only for urgent indications. Its peculiarity is that even children can undergo such a procedure.

Naturally, before the intervention, it is necessary to assess the general condition of the patient and the threat of complications.

If you have a diagnosis of purulent otitis media of the middle ear, treatment may include the use of folk remedies. However, before using them, be sure to consult a doctor. You can use home recipes in other forms of the disease. The most effective of them are:

1. Compress of vodka (or alcohol). Its preparation is easy. You just need to take a gauze napkin and moisten it with vodka. Then the compress is superimposed on the ear, and then it is closed with wax paper and cotton wool. For a good effect, you should hold the napkin for several hours.

2. If the patient has a chronic otitis media of the middle ear, the treatment involves the use of tinctures juniper, which not only helps to eliminate pain, but also has anti-inflammatory effect. You can buy it at the pharmacy.

3. Juice of onion helps to cope with the disease. You just wet a cotton swab in it and put it in your ear. A few hours later the turundochka is changed.

4. Anti-inflammatory properties have aloe juice. And you can dilute it with warm boiled water in a 1: 1 ratio. Bury such a homemade "medicine" with a pipette several times a day.

How to properly treat otitis media of the middle ear in children?

Not only adults can suffer from this disease. Babies very often can catch such an infection. In addition, the most common disease of early years is otitis media of the middle ear. Treatment for children of this pathology takes place in different ways. Everything depends on the degree of development of the disease, as well as the reaction of the baby to it.

Try to always keep the child's ears warm, even if it's not cold outside. Only in this case you will be able to cure the pathology quickly. If the cause of otitis is acute respiratory disease, you will have to treat it in the first place. Often the baby is prescribed antibiotics (in the form of syrups, for example, the drug "Ospamox", or tablets). Naturally, if the doctor resolves, you will need to use ear or nasal drops that narrow the vessels and facilitate breathing, and also have an anti-inflammatory effect.

If the temperature rises to a very high level, give the child an antipyretic drug. One of the best medicines for such an action today is Nurofen.

During the treatment, the child should not attend the school. It is best to provide him with bed rest with constant monitoring of body temperature. Be sure to give a warm drink. A cotton swab dampened with boric alcohol helps a lot. Note that if the baby has a temperature, compresses can not be applied to the ear. Sometimes a doctor has to do a small operation for the child (if the pus itself does not go out). Naturally, for this, the baby is anesthetized.

The most correct decision of parents in case of illness of children will be an appeal to a specialist - LOR. Self-medication can not be done in any case, since this pathology is fraught with serious complications that the child develops faster than the adult.

Prevention of disease

If you have chronic otitis media, medication at home can only be used after consultation with the doctor. However, in order to significantly reduce the number of relapses of the disease, it is necessary to carry out certain preventive measures, which you will now learn.

First of all, you need to try to treat any colds that can provoke the middle otitis: ARVI, sore throat, laryngitis. Also learn how to blow your nose properly (the nostrils should be closed in turn).

Naturally, you need to take care of your immunity. That is, eat fresh vegetables and fruits, tempered, and if necessary, use multivitamin complexes (especially in late summer and winter). Temper, give up bad habits. Be careful while cleaning the ears with cotton buds (if you do this procedure). Avoid any injuries to your ears, or hypothermia. Do not give up the hat in the winter.

A very important part of the prevention of otitis media is proper oral hygiene. That is, ordinary tooth decay can be a good stimulus for the development of infection in your auditory organ.

As for babies, then try to bathe them very carefully so that water does not get into your ear. If this is not the case, use special antibacterial drops after each bath.

If it has already happened that you are sick, then immediately go to the doctor. It will help you to establish an accurate diagnosis and will prescribe adequate therapy. The longer you delay the moment of a visit to the ENT, the more difficult will be the treatment, and the more likely the occurrence of complications. Therefore, take care of your health on time.

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