Advise a strong antibiotic to cure otitis media
Answers:
Olga
Only an ENT doctor can prescribe a special antibiotic, I do not advise you to self-medicate, if you do not want to remain without hearing!
Olga Pavlova
For anesthesia at the initial stage, otitis is prescribed Paracetamol (1 g 4 times a day for adults, for children, doses are selected depending on body weight). An anesthetic effect is possessed by ear drops otypax (composition: lidocaine hydrochloride, phenazone, sodium thiosulfate, ethyl alcohol and glycerin). Otipaks are buried in the outer ear canal for 4 drops 2-3 times a day. In order to reduce the pain syndrome, the Cytovichi compress is used (the gauze swab is impregnated with 3% alcohol solution of boric acid and glycerin and inserted into the external auditory meatus). Such a compress can be left in the ear for 3-5 hours.
In order to reduce the swelling of the auditory tube and improve the outflow of pus from the middle ear Assign drops in the nose: Naphthyzine, Santorin, Tizin, Nazivin. Nazivin prescribe to children 1-2 drops in each nostril 2-3 times a day.
Reducing swelling of the mucous membrane of the auditory tube is sometimes promoted by antihistamines: Diphenhydramine, Suprastin, Tavegil, Claritin, Telfast. The appointment of antihistamines is recommended only in cases when otitis develops against the background of allergies. Suprastin is prescribed to children according to 8.3 -12.5 mg 2-3 times a day.
Antibiotics for suppressing infection in the middle ear. The basis for the treatment of acute purulent otitis media is antibiotic therapy.
According to the latest data, the most effective drug in the treatment of acute otitis in children and adults is Amoxicillin (inside 0.25-0.5 g three times a day for 10 days). Sometimes there is a situation in which treatment with Amoxicillin does not lead to an improvement in the patient's condition. In the absence of effect after three days of treatment with Amoxicillin, the drug should be changed to Augmentin (0.375 or 0.625 g orally two to three times a day) or Cefuroxime (inside 0.25 or 0.5 g twice daily).
If the above antibacterial agents are intolerant or ineffective, antibiotics are prescribed macrolides (Rulid by 0.15 orally twice a day, Spiramycin , ml ME inside twice a day).
With complicated forms of otitis medications are prescribed, such as: Sparflon inside 400 mg on the first day, then 200 mg per day; Avelox 400 mg orally once a day.
The duration of otitis treatment should be at least 8-10 days. Even in case of improvement of the patient's condition, antibiotics should be continued. Early cancellation of antibiotics can lead to a relapse (repeat) of the disease and to the development of hearing loss.
Local treatment for otitis. Compresses, hygiene
When otitis use a warming compress on the ear (a bundle with heated salt), which accelerates the resolution of the inflammatory process. If, after applying the compress, the patient notes the increased pain in the ear, the compress should be immediately removed.
It is necessary to remove a purulent secret from the ear canal several times a day. For these purposes, you can use cotton buds.
When cleaning the ear, pull the auricle back and forth (the child - back and forth) and the cotton swab carefully enter the ear canal. The procedure is repeated until the cotton wool remains dry and clean. With thick pus, a warm solution of 3% hydrogen peroxide is poured into the ear canal, after which the ear should be carefully dried with a cotton swab. After removal of the purulent secretion in the ear, warmed to 37 ° C 0.5-1% solution of Dioxydin or ear drops Tsipromed. With lethargic otitis media, iodine and lyapis tinctures can be used (40%).
Leonid Spirtus
The best (checked repeatedly) helps nut oil: squeezing garlic croutons juice from 1-2 walnuts nuts in a tablespoon, bring to a boil on the gas, then cool and bury in your ear (2-3 drops). Operates faultlessly.
OXANA TITOVA
drops of sfradex in the ear and sumamed inside
Ethnica
Nothing to drip in your ears - you can be even worse.
Antibiotic and treatment should be prescribed by a doctor, but in general the best at the moment - Summed (or its analog cheaper - Azithromycin).
maximus
antibiotics without a prescription do not sell
What antibiotic should I take with otitis
Antibacterial drugs, or antibiotics for the treatment of otitis media are prescribed on the basis of the clinical picture and taking into account the individual characteristics of the patient's body. Most often the patients of the otolaryngologist take inwards "Cefuroxime", "Spiramycin", "Amoxicillin" and "Augmentin". Their reception is supplemented by the use of antipyretic drugs and the introduction of drops into the auricle with a cortisone content.
Otitis: general information about the disease, the causes of its occurrence
Otitis is a disease of the middle ear of the inflammatory-infectious etiology, which can be acute and chronic. Otolaryngologists divide it into external and middle. In adults, the development of otitis media can be accompanied by pain in the ear, a decrease in hearing, an increase in body temperature. In babies who can not complain of ill health, the main signs of the disease may be crying, irritability, vomiting, high fever. The appearance of these symptoms is explained by the struggle of the organism with the infection that struck the channel "nasopharynx - middle ear", which can swell and close.
The causes of otitis may include:
- general cooling, leading to narrowing of the peripheral blood vessels;
- infections that are "seated" in the nasopharynx for a long time and activated upon the occurrence of unfavorable circumstances for the organism;
- Weakened immunity due to poor nutrition and insufficient amounts of vitamins and minerals;
- eustachiitis - inflammation of the auditory tube;
- Mastoiditis is an inflammatory-infectious pathology affecting the internal cells of the mastoid process.
Treatment of otitis with antibiotics
Adult patients for the treatment of otitis are assigned "Roxithromycin" - a drug from the group of macrolides. It is intended for internal use, and take it 2 times a day before meals to 0.15 g. Children who have reached the age of 12 years are prescribed macrolide "Clarithromycin" for otitis treatment. It is taken internally according to medical prescription or by instruction.
The antibiotic "Cefuroxime" is available in different forms. It can be administered intramuscularly, intravenously and taken internally. The drug has excellent bacterial properties, but during pregnancy and lactation it is prescribed, having weighed all possible risks for the woman and the child. One-time dosage is usually 0.25 g. In acute disease, it is possible to double it.
"Amoxicillin", intended for internal reception, is available in 2 forms - tableted and powdered. Dosage and the frequency of its use are assigned by a specialist individually. Due to its high bactericidal effect, this antibiotic has proven itself in the treatment of many diseases. Take antibiotics to get rid of otitis should be at least 10 days. Otherwise, the acute form of the disease can go to the chronic.
Given that all antibacterial drugs intended for the treatment of otitis can cause damage to the beneficial flora of the intestine, the doctor must additionally prescribe the use of drugs made on the basis of bifidobacteria. You should also know that independent attempts to cure otitis are fraught with deterioration of the general condition and accelerated development of infection.
KakProsto.ru
How to treat otitis in adults: the main symptoms and diagnosis
Despite the fact that the inflammation of the hearing organs of an adult person is much less common than that of children, the question "how to treat otitis in adults" remains quite relevant and in demand.There are many prerequisites for the development of the disease in adults, as well as in the case of sinusitis.
Even an elementary cold or hypothermia can turn into a serious form of otitis.
In addition, inflammation of the outer, middle or inner ear can be affected by the following factors:
- viral diseases of the upper respiratory tract;
- viral diseases of the nasopharynx;
- neglected forms of the common cold;
- adenoids in the nasopharynx arch;
- violation of the rules of ear hygiene.
Depending on the infection of certain departments of the ear, otitis in adults and children is divided into three types:
- External otitis media: most often the cause of its occurrence is the accumulation of water in the ear canal, this form of the disease is often called "swimmer's ear."
- Average otitis media: mainly develops as a complication of the upper respiratory tract, this form is commonly referred to in the everyday life as "otitis."
- Internal otitis media: develops mainly on the background of neglected purulent inflammation, as well as infections.
In order to determine how to treat otitis in adults, it is necessary first to study the clinical picture, compare it with the characteristic symptoms of the disease, and also carry out a diagnosis.
The main symptoms of otitis in an adult are:
- feeling of stuffiness and noise in the ears;
- acute or aching pain in the ears;
- a sharp increase in temperature;
- partial hearing loss;
- headache;
- general weakness and malaise;
- lack of appetite;
- sleep disturbance;
- purulent discharge, possibly with an admixture of blood from the auditory canal.
It is important to know
Even the presence of the above symptoms does not give the right to engage in self-treatment, for the full diagnosis of the disease is urgently needed will seek help from an otolaryngologist who, with the help of special ENT equipment, will establish a definitive diagnosis and prescribe a course of treatment.
For the diagnosis of otitis, the doctor usually uses an overhead reflector in tandem with an ear funnel or a modern optical device called an otoscope. In most cases, the examination of the ear does not cause any difficulties, in the first place the eardrum, ear canal and auricle are subject to examination.
Thus, in the diagnosis of external otitis, redness of the skin in the ear, narrowing of the auditory passage, and the possible presence of fluid in the lumen is observed. In this case, the auditory canal can be narrowed so much that through it it is simply impossible to examine the eardrum.
On average, any inflammatory process in the ear (otitis) lasts up to two weeks, during this entire period In no case should the treatment process be stopped, even if there is a significant improvement. Otherwise, serious complications and the formation of chronic forms may occur.
How many otitis media are treated in adults with basic medication
Regardless of the nature of otitis, viral or bacterial, it must necessarily be treated. Passage of the disease itself can in rare cases, but it is quite likely that it will develop into chronic forms and complications with serious consequences. It is from the course of the prescribed therapy and it depends how much otitis is treated in adults in time.One of the main means for treating the disease are ear drops in otitis.
They can be exclusively antibacterial or combined and consist of antibiotics and anti-inflammatory components. The course of treatment with such drops is 5-7 days, depending on the clinic of the disease.
Antibiotics are often used in the treatment of otitis media in adults, especially acute and purulent forms. The course of their treatment is 7-10 days, depending on the drug and the degree of complexity of the disease. In this case, treatment of otitis in adults and children at home by folk remedies is undesirable.
It is important to know
Take antibiotics should be exclusively after the appointment of a doctor strictly according to the scheme of the entire course. Even if after a few days of taking the symptoms of the disease significantly decrease or even disappear some of them, stop treatment of purulent otitis with antibiotics for adults and children is prohibited in order to avoid complications and repeated exacerbation of the disease.
Anesthetic for otitis in adults is another type of medication used to relieve the condition of particularly acute forms with pronounced pain.Such treatment should be carried out necessarily under the supervision of the attending physician, not to cause allergic reactions and side effects.
Anesthesia therapy for otitis symptoms does not have a definite course of action and is used whenever necessary in each case.
In some cases, otitis media of the middle ear requires little surgical intervention. This procedure is called paracentesis or tympanotomy of the tympanic membrane. Usually it is performed when there is no improvement after antibiotic therapy during the first three days. The essence of it is to perform under the influence of local anesthesia in the tympanic membrane of a small incision, through which the pus accumulated in the ear can freely flow. After the cessation of discharge, the incision successfully heals and traces completely.
If there is no temperature in the otitis and there is no purulent discharge, often doctors recommend using dry heat - this can be folk methods of warming up at home or physical therapy.
Proceeding from the above-described factors, it becomes absolutely clear that it is impossible to give an unambiguous and precise answer to the question of how long otitis in adults lasts and how many days it is necessary to treat it.
The process of treatment and recovery depends on many factors, from the form of the disease, its clinical picture, ending correctly prescribed therapy, created conditions for the patient, not to mention the individuality of each individual human organism. One thing is obvious - the duration of the disease can be significantly reduced with timely treatment to the otolaryngologist and strict observance of all his prescriptions.
gajmorit.com
Ceftriaxone for otitis in adults: indications and side effect
Inflammatory diseases, such as sinusitis, tonsillitis, otitis media, are often treated with antibiotics. Antibiotics are effective only against infections caused by bacteria. If the ear infection is caused by a virus, the antibiotic will not get rid of it.
One of the most effective antibiotics in otitis in adults is Ceftriaxone ("Rocefin").
With its help, treat acute otitis media of the middle ear, caused by the following infections:
- pneumococcus;
- Hemophilus infection (including strains producing beta-lactamase);
- gram-negative coccus.
Prior to the appointment of Ceftriaxone in otitis in adults, the doctor is likely to prescribe a test to determine the pathogen and identify its sensitivity to the drug. This is done to reduce the risk of developing resistant bacteria and maintain the effectiveness of the drug.
- Ceftriaxone is injected into a muscle or into a vein through a dropper. Do not inject the drug yourself, if you do not know how to properly inject.
- You may need to mix ceftriaxone with the liquid (diluent) before use. How to plant ceftriaxone will advise a doctor.
- After mixing the medicine, you will need to use it for a certain number of hours or days. This will depend on the diluent and how you store the mixture (at room temperature, in the refrigerator or frozen form).
Carefully follow the instructions for mixing and storing the drug.
- Do not mix Ceftriaxone with other antibiotics or with any solvent that contains calcium.
- If you are using other injectable drugs, be sure to flush the intravenous catheter between the injections of each medication.
- Do not stop taking the medication until the attending physician permits. Symptoms of otitis media may decrease before the infection completely "exits" from the body. Dose skipping can increase the risk of developing a chronic infection that has resistance to antibiotics.
- This drug can lead to unusual results of some laboratory tests of glucose (sugar) level in urine.
- Keep unmixed ceftriaxone powder at room temperature away from moisture, heat and light.
Antibiotic drugs sometimes cause diarrhea, which can be a sign of a new infection.If you have diarrhea, a watery stool or blood in it, immediately call your doctor.
Do not use any medication to stop diarrhea without consulting your doctor.
Ceftriaxone in otitis in adults, as a rule, is well tolerated by patients. He is also often prescribed for angina.
In the course of clinical trials, the following side effects of Ceftriaxone have been documented that are associated with a drug or have an unclear etiology:
- Local Reactions(pain, tightness and soreness) were seen in 1% of patients.
- Hypersensitivity- rash (in 1.7% of subjects). Less often (
- Hematologic problems- eosinophilia (6%), thrombocytosis (5.1%) and leukopenia (2.1%). Less often (
- Disorders of the stomach and intestines- Diarrhea (2.7%). Less often (
- From the side of the liver- an increase in the level of aspartate aminotransferase (3.1%) or alanine transaminase (3.3%). Less often (
- From the side of the kidneys- increased blood urea nitrogen level (1.2%). Less often (
- From the central nervous system- headache or dizziness (
- From the genitourinary system- Candidiasis or vaginitis (
Other rarely observed adverse reactions with ceftriaxone in otitis media in adults (allergic pneumonitis, anaphylaxis, abdominal pain, bronchospasm, colitis, dyspepsia, epistaxis, flatulence, leukocytosis, heart palpitations.
Contraindications for the administration of ceftriaxone
Do not use this medication if you are allergic to ceftriaxone or other antibiotics from the class of cephalosporins, such as: cefaclor, cefadroxil, cefazolin, cefdinir, cefditoren, cefpodoxime, cefprozil, ceftibuten, cefuroxime, cephalexin, cefradine.
To make sure that you can use this medication against otitis media, tell the otolaryngologist if you have:
- kidney problems;
- liver disease;
- diabetes;
- diseases of the gallbladder;
- disorders of the stomach or intestines, such as colitis;
- an allergy to penicillin.
Tell your doctor if you are pregnant or plan to become pregnant during treatment. Ceftriaxone can penetrate into breast milk and cause harm to the baby. Do not use it if you are breastfeeding.
gajmorit.com
