What antibiotic should I use when I have otitis in children, and can I do without them?
Infectious ear diseases are the most common diseases in children. Otitis is often treated with antibiotics. This is a common and effective technique. Which can sometimes not be used, replacing it with alternative methods of treatment. The use of antibiotics is justified when the inflammatory process in the ear canal has already become a threatening scale, and can give serious complications. The main symptoms in this case are: high temperature (over 38 o C), severe pain in the ear organ, dehydration. The link describes the symptoms of otitis in children under one year. Antibiotics are immediately prescribed to children up to two years, this age group most often have complications.
Types of disease in children
They differ among themselves depending on the location of the inflammatory process and there are:
- external;
- average;
- localized in the middle ear (labyrinthites).
Most often, children suffer from the third kind. The disease occurs in three stages:
- preoperative period- the emergence of the disease and its development. At this time, the baby is disturbed by the noise in the ear, and he begins to hear badly. If this is not noticed immediately, then the disease is supplemented by a temperature of 38 o C and is accompanied by headaches;
- perforation stagebrings with it the improvement of the patient's condition. With it there are signs of intoxication, tormented child's pain and temperature, but the initial hearing is not yet restored, because during the illness the eardrum has been damaged.
- Stage of recovery- the most significant period. During it, the hearing returns, and all the symptoms of the disease go away.
For the fastest recovery, antibiotics are used. It is only necessary to find out which of them are the most effective and will be able to effectively localize and eliminate the diseases, without consequences for the child's organism.
The video describes the use of antibiotics in otitis in children:
High-speed antibiotics
Do you need antibiotics for otitis? Their usefulness is determined by the severity of the disease, which is: mild, moderate, acute and catarrhal. The first two of its forms can pass in kiddies without the use of antibiotics, but the latter can not do without them.
The degree of disease is determined in two days. During which, the child is treated with alternative medicines in the form of antibacterial medicines and folk remedies. If after this time no improvements appear, then do not delay with the reception of strong funds. Now we need to introduce into the body a heavy artillery - on the doctor's prescription to give the child antibiotics.
Do not wait that long, if the child immediately sees a severe form of the disease. It manifests itself in an increase in body temperature up to 39 o C and strong intoxication. What antibiotic is used? The course of treatment and an antibiotic is prescribed by a doctor. Most often they include the following drugs:
Amoxicillin
Amoxicillin is an effective and, if you can say so, the most sparing drug. It belongs to the penicillin series. It has three forms of release: suspensions, tablets and capsules. Dosage for children depends on their weight and age. The drug is taken three times a day.
Children under 2 years of age are prescribed amoxicillin in suspension. The dose of the drug is calculated as follows: 20 mg of the drug per 1 kg of the child's weight:
- To children from 2 to 5 years - 125 mg.
- Children from 5 to 10 years should drink 250 mg.
Children older than this age are prescribed 500 mg twice a day or 250 mg in four divided doses. In the case of serious infections, 875 mg twice daily or 500 mg every 8 hours is prescribed.
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Roxithromycin
Roxithromycin belongs to the category of macrolides. It is active against gram-positive and gram-negative bacteria. Produced in tablet form and in suspension.Suitable for children of four years, if their body weight exceeds 30 kg. Calculation of the dose is as follows: 5 - 8 mg of the drug per 1 kg of the baby's weight. The received value of the drug should be taken within a day, the number of appointments appointed by the doctor. The average rate is 10 days. This drug has virtually no contraindications and side effects.
Clarithromycin
It surpasses all penicillin group drugs in terms of efficacy and safety. Has a suppressive effect on the synthesis of protein in the cell of microbes and does not allow them to multiply, which leads to their quickest death. It has at once two actions: antibacterial and bacteriological. It is produced in the form of a suspension, a powder for the preparation of a solution administered orally and tablets. Children older than 12 years are prescribed a suspension, which must be taken twice a day for 250 or 500 mg. Dosage depends on the severity of the disease. The duration of the course is one to two weeks.
In severe forms of otitis media can be used intramuscularly at 500 mg / day for five days.
Sofradex
Sofredeks are used for acute and chronic otitis. It is made in the form of ear drops. They should be digested 4 times a day at the same intervals. It has anti-inflammatory and anti-allergic effect, and also removes unpleasant itching.
Ceftriaxone
Ceftriaxone is used in inpatient treatment of a patient. It is administered intramuscularly. It is safe even for newborns. For them, the dosage is calculated as follows: 20 to 50 mg per kg of crumbs. Breastfeeding and children up to the 12th age the daily dose is from 20 to 75 mg / kg. In especially severe cases, dosage can be increased to 4 grams.
Can otitis be treated without antibiotics? Ear infections in children up to six months should be treated only with antibiotics. Babies up to the age of two can apply a two-day practice of waiting, and then after confirming the diagnosis, a potent drug should be prescribed. Older children can use alternative methods of treating otitis, and if they do not help to use antibiotics.
Treatment with alternative methods
In some cases, the treatment of inflammation of the middle ear is simply contraindicated with potent medicines, as children may experience an unexpected reaction. Therefore, sometimes treatment of otitis occurs without the use of antibiotics.
How to treat otitis with folk remedies? Before choosing alternative methods of treatment, you should get recommendations for their use in a doctor.
Folk remedies
Wormwood tincture
It is necessary to take tea l. flowers of wormwood and add them to 70 ml of alcohol. Then this tool should be insisted in a dark and cool place for 10 days. At the same time, the resulting mixture must be periodically blended.The resulting infusion should be moistened with pre-made cotton wicks and insert them into both ears before going to bed.In the morning they are cleaned. This method will warm up, and also reduce inflammation. The course of application is from five to seven days.
Rosehip and nettle
Of these two ingredients must be made a decoction. And during the day drink it as often as possible. It has an anti-inflammatory and strengthening effect.
Several ways to apply geranium against otitis media:
- Its leaves contain a large consistence of essential oils, which have a strong positive effect on the body. Her torn sheet should be crushed slightly in her hands, then twisted with a tube and inserted on each sheet in each ear. This method relieves pain.
- The next way is to make a medical test. It is kneaded from the mashed leaves of geranium, flour (rye or oatmeal) and camphor alcohol. Of these ingredients, you need to knead a steep dough, and then wrap them with each ear from the outside.
Propolis with oil
To prepare this recipe, you need to take 30 ml of any vegetable-based oil and add to it half the amount of ground propolis. All this is put in a glass container and heated in a water bath for about two hours until the propolis is completely dissolved, and the mixture must be stirred occasionally. Wax will settle on the bottom of the dishes. It is necessary to transfer the received product so that the sediment remains in the previous container. Twice a day, it is necessary to insert into the ears, for three hours, wadded or gauze wicks moistened in a prepared composition. This remedy can not just be buried in your ears.
Hydrogen peroxide
It is used for purulent otitis. This tool washed the ears. Every time after this procedure, pus will come out with its remnants. If it is a chronic form, then peroxide is used as ear drops.
Walnut
Leaves from this tree are finely chopped and placed in a jar. Then oil is poured down to its very neck. And the container is left with a solution for three months in a cool and dark place. With such an oily solution, a cotton swab is moistened, and then it is treated with the auditory meatus and the area around it. Do this three times a day.
Preparations
To remove the child's exhausting pain, use Paracetamol, Efferalgan, Panadol, Ibuprofen or Imet. Children over 12 years are nominated by Nimid and Nimesil. All these medicines can eliminate the temperature and reduce the pain of the child. By reference, you can read which ear drops are better for otitis.
Heating procedures
Compresses can be done only if the otitis is non-puffy and there is no temperature. When carrying out this warming procedure, you must first check the temperature of the compress, in no case can it be applied to the neck of the child immediately after cooking.
It is made from ordinary or camphor alcohol.Prepared gauze is folded into eight layers and makes it a hole under the ear. Then it is moistened, squeezed and applied to the area around the auricle.
A good and proven method is heating with salt. A small amount of it should be heated in a pan, and then put in a small canvas bag, the size of which should be slightly larger than the ear. Hold the device near the ear until the salt cools.
All diseases must be treated in a timely manner so that complications do not occur. But in the case of otitis media, only proven and effective means should be used. After all, it affects the child's auditory organ. Therefore, do not abuse antibiotics and even more so self-use folk remedies. Here you can read about the symptoms and treatment of otitis in adults. On the link read what is acute catarrhal otitis.
ProLor.ru
How to treat otitis in children without antibiotics?
Often parents are worried about whether it is possible to treat otitis in children without antibiotics. Otitis is an inflammation of the ear. Many children know firsthand about this disease. Often parents can not immediately identify this disease, which complicates the subsequent treatment.
What is otitis media?
Otitis is an inflammatory process in the ear. As the ear itself is divided into three divisions, and the otitis can be external, middle and inner. Middle otitis media is common. The most difficult is internal otitis media. The average otitis can be purulent and catarrhal. The disease can not appear due to a viral infection or due to a fungus. The causative agents of the disease are staphylococci and streptococci.
Do you need antibiotics for otitis: the opinion of Israeli doctors
The world scientific community is of the opinion that antibiotics should not be prescribed immediately. You should observe the child for several days.Israeli doctors believe that the reddened ear without accumulation of fluid in it is not otitis and should be prescribed only painkillers. Even with obvious otitis, only a small percentage of children need antibiotics. Indication can be a rise in temperature to 39 ° C, purulent discharge, rupture of the tympanic membrane, bilateral otitis in children younger than 2 years. And if the otitis is accompanied by strong pain.
Otherwise, Israeli doctors recommend observing the child for 3-4 days, and, as they say, with mild illness the disease can pass by itself. The only thing is to take painkillers. This is what concerns Israeli medicine, but what do our doctors think?
How to cure otitis without antibiotics in children
First aid
It can often be that there is no way to get to see a doctor with a sick kid because of constant queues. I have to call the doctor on the house and wait for him to come. While the doctor did not come, I want to help the child, but I should not give him medication alone.
Self-medication, especially with otitis media, can lead to unpleasant consequences. Traditional medicine is also often unable to completely eliminate the problem.
Therefore, before the doctor comes, you can only alleviate the condition of the child. If he has a fever and the temperature has risen to a mark of 39 ° C, then it is worthwhile to knock it down. Give antipyretics. It can be children's paracetamol or ibuprofen, which also have an analgesic effect. It is advisable to put a rectal candle in a nursing baby, as they can often spit up due to intoxication.If the child does not have a temperature, then you can apply "dry heat" to the place of the ear. If the temperature is raised, this can not be done. Try to make it easier for a child to breathe: you should suck off the mucus from his nose with a pear or other means.
Arriving at the house, the doctor must examine the baby. Often the treatment is carried out according to the standard scheme: antibiotic, antipyretic drugs and painkillers.
Drugs, especially antibiotics, are written out from the age of the child, concomitant diseases and the course of the underlying disease. But with a disease like otitis, many doctors are slow to prescribe antibiotics. Sometimes they are ineffective, for example, penicillin can not cope with bacteria in such a disease.
Therefore, antibiotics are not prescribed by the attending physician in the following cases:
- Children older than two years.
- Only one ear is inflamed.
- If the inflammation has arisen in the middle ear, as it is necessary to clarify the diagnosis.
But in acute otitis media, if the child's condition worsens, antibiotics should be started.
Treatment without antibiotics
It should be noted that acute inflammation of the ear without antibiotic is difficult to cure, complications can arise. This drug kills germs and prevents them from spreading to nearby organs. But if you decide to treat otitis without these drugs, then this can be done with chronic otitis media and in older children. The chronic form of otitis can be treated with drops, suppositories, compresses, warming.
Tips for treating otitis media
It is worth repeating once again that the parents have understood once and for all that acute otitis with inflammatory manifestations, fever and general intoxication of the body is treated only with antibiotics.If the disease has passed into a chronic form and proceeds without pronounced symptoms, then it can be treated without the use of antibacterial drugs.
But that the disease does not go into a purulent stage, it is necessary to conduct treatment with pharmacological drugs under the supervision of a doctor, and traditional medicine should be conducted as an auxiliary therapy.
From drugstores use drops for instillation in ears. Take those that the doctor will write to you. Often for such drops there are age limits and not all children they fit. If the child does not have purulent discharge from the ear, then you can do a warming compress. It is necessary to take waxed paper and cloth, cut around, so that there is an opening for the auricle.
After this, it should be lubricated around the ear with a baby cream, dipped the cloth in a warm alcohol solution that is diluted: with water, and put it to your ear, so that the sink is not closed, then put paper on top, and cotton wool on paper, fixing it all bandage. Such a compress should be kept on the ear for 1-2 hours.You can also warm up the ear area with warm salt or sand, for this you should pour them into bags. After you have removed the pain by warming up, be sure to tie the baby's head with a handkerchief. During the day, you should give your child more sweating and vitaminized liquid: tea with raspberries, dogrose, herbal medicinal herbs.
It will be useful for treatment without antibiotics herbal medicine: decoctions of herbs and lotions from them. But it's worth knowing that the child does not have any allergies to any grass. In the treatment without antibiotic therapy, care of the sick child is very important.
Should, in addition to general procedures, gargle with herbal decoctions, for example, chamomile, and also with caution to clear the auditory passage from the ear extracts.
During this period, bed rest should be observed.
A little bit about antibiotics
Antibiotics of different groups are appointed: there is a penicillin and cephalosporin group. They are used in the form of tablets, syrups or injections. If they do not help, the doctor will prescribe stronger drugs. Do not give antibiotics to the baby randomly, otherwise the bacteria will develop resistance to the drug and will have to take even more dosage.
Sometimes, antibiotics can develop side effects: diarrhea, rash, allergic reaction. An effective method of treatment is the use of antibiotics in parallel with the ear drops.
.Thus, we can draw some conclusions. If the child is less than two years old, antibiotic treatment is necessary. If the disease is severe, then a course of antibacterial drugs is also needed. In other cases, you can observe the child for 72 hours. If improvements are not observed and the disease progresses, then start taking antibiotics, but only under the guidance of a doctor.
lor03.ru
Antibiotics for otitis in children: which drug is better
Among the drugs used in the treatment of otitis media, otolaryngologists can prescribe antibiotics to their patients. To achieve the highest effect of therapy, many specialists treat with a combination of anti-inflammatory ear drops and antibiotics in otitis in children.
When is antibiotic used?
Antibacterial drugs are prescribed not in all cases of development of the inflammatory process in the ear canal. Effective therapy will only be in case of bacterial origin of the disease.Also, without antibiotics, the child can not do without the otitis, when the disease has already acquired a neglected form and is fraught with the development of dangerous complications. Preparations of this pharmacological group may be prescribed only by a specialist after diagnosis.
Antibacterial medicines can be given to children in cases when the disease is bacterial and characterized by the severity of the flow. Moreover, the otolaryngologist should be sure of the correctness of the diagnosis. According to experts, the appointment of antibiotics for otitis in children becomes appropriate in such cases:
- the child's condition is severe, he experiences severe pain;
- temperature above 3, degrees;
- dehydration;
- the flow in the child's body of serious chronic diseases that can aggravate the inflammatory process;
- children under two years, because they are particularly prone to rapid development of complications in otitis.
Types of drugs
For today the choice of all medical preparations is wide enough, but it is necessary to know, that the antibiotic should be applied depending on localization of an inflammation at an otitis. In the acute form of otitis media of the middle ear, antibiotics are predominantly prescribed:
- amoxicillin;
- ampicillin trihydrate.
Ampicillin trihydrate is part of a group of semisynthetic penicillins. Treatment of otitis in a child with antibiotic ampicillin trihydrate is done with the use of tablets, powder or capsules. The drug is categorically contraindicated in individuals with hepatic and renal insufficiency, pregnant and lactating women. Among the side effects often allergic reactions develop, the patient may be disturbed by diarrhea, dysbiosis, headaches, anaphylactic shock may occur.
If the patient has confirmed the diagnosis of chronic otitis media of the middle ear, he may be prescribed such medications:- ciprofloxacin;
- netilmicin.
Ciprofloxacin belongs to the group of fluoroquinolones, it has a wide spectrum of action, it is a popular antibiotic in most countries of Europe. This antibiotic is prohibited for use by children, pregnant and lactating women. If a lactating woman was prescribed ciprofloxacin, breastfeeding should be stopped for the period of treatment. Among the side effects most often occurs diarrhea, nausea, meteorisms, dizziness, nausea, insomnia, urticaria, nausea, candidiasis.
Otitis in children antibiotic Netilmitsin is applied topically, in the form of injections. Belongs to the aminoglycoside group. The course of therapy depends on the severity of the course of the disease, but in any case can not exceed two weeks of admission. Possible side effects in the form of allergic manifestations. The drug is contraindicated in the elderly and pregnant women. Treatment of otitis in children with Nethylmicin is rare, it is only occasionally prescribed in certain cases for children's ENT.
Taking any antibiotic, you should know that it usually causes a dysbacteriosis. To avoid such a dangerous effect of antibiotic therapy, it is necessary to take probiotics in parallel.
Preparations of the second row
If amoxicillin and ampicillin trihydrate are ineffective or if they can not be used, antibiotics of the second row are prescribed. Among these antibiotics in otitis in the child belong the following drugs:
- trimethoprim-sulfaethoxazole (Bactrim);
- cefuroxime;
- cefpodoxime proxetil (Vantine);
- cefdinir (Omnitsef).
Cefuroxime is prescribed for patients older than 2 years. Antibiotic is intended for short-term admission with acute form of ear inflammation - 5 or 3 days. The drug is not suitable for patients who have comorbidities, chronic or recurrent otitis media, as well as it is contraindicated in perforation of the tympanic membrane and spontaneous allocation of pus.
Vantine is the most popular second-line antibacterial agent. It is effective against pneumococci and bacteria that produce beta-lactamase. Often, Vantin is prescribed to children who are allergic to peccillin or amoxicillin.
What antibiotic is better for otitis in a child is impossible to say, because its purpose depends on the form of the disease, the severity of its course, the individual characteristics of the child's body.
NasmorkuNet.ru
Antibiotic for otitis in children
Each parent, when his child is sick, thinks, first of all, about what preparations to cure the crumb and what treatment to choose. Otitis, as a very common childhood disease, which is often a complication after a previous viral ARI, also needs a proper choice of medications. Therefore, the topic of choosing antibiotics for otitis in children is very important, and only if we take into account the whole complex of symptoms and the nature of the disease, we can talk about the advisability of their appointment.
Antibiotics for otitis treatment
The need for treatment of otitis in children with antibiotics is determined, first of all, by the severity of the disease, which happens in the following forms:
- light;
- average;
- acute;
- catarrhal.
According to many experts, a mild and moderate form can pass through the child itself, without the help of antibiotics. However, in the case of a favorable state of affairs, this should happen within two days, no more. It is during this time it becomes clear whether the body can overcome the infection without antibiotic therapy, limiting itself to only taking anti-pain medications. If the temperature and pain persist during this two-day period, the question of what antibiotics to drink when taking otitis is extremely important.
Do not wait two days and if the child is less than two years old, or intoxication is strong enough, and the temperature reaches 39 degrees. Then the doctor immediately appoints the right drug, which most often becomes one of the following:
- Amoxicillin.
- Roxithromycin.
- Sophradex.
- Ceftriaxone.
- Clarithromycin.
Antibiotic in otitis appoints only a doctor
It is important to understand that only a doctor who monitors the condition
the child, can tell or say, what antibiotics to treat an otitis. He will select the right drug, capable not only to "drive" bacteria out of the child's body, but also not to damage the immunity. Therefore, only with a medical consultation, a mother can start treatment for her baby.Thus, a seemingly only positive answer to the question of whether antibiotics are needed in otitis media, still needs concretization, advice and recommendations of a pediatrician who will prescribe the only correct treatment for each specific case. In addition, parents who fear antibacterial therapy and consider it harmful, do not forget that today medicine is not stands in place, and the child's antibiotic in otitis is directed, first of all, to help, eliminating the symptoms of the disease, and not to harm baby.
WomanAdvice.ru
