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Antibiotics for otitis

Otitis is an otolaryngological disease that is associated with the course of the inflammatory process in various parts of the ear. There are external and middle otitis, both of which can be both chronic and acute.

Otitis - treatment with antibiotics

Bactericidal agents are applied topically (externally) and internally. The type of antibiotic therapy is prescribed depending on the type of otitis and the nature of the course of the disease.

What antibiotics to drink with chronic purulent otitis, and which ones to use externally?

The use of bactericidal preparations for chronic otitis is justified if the inflammatory process is in the acute stage and the purulent contents appear at the site of the disease localization.

Symptoms:

• gradual deterioration of hearing;
• increased body temperature;
• the appearance of ears of mucous consistence with purulent inclusions;
• pain in the ear;
• weakness;
• pallor.

Typically, antibiotics are used from the following list:

1. For oral administration:

• ampicillin (ampicillin trihydrate). Scheme: one capsule 4 r. in day 5 days;
• amoxicillin. Scheme: one capsule 3 r. a day for 10 days;
• spiramycin. Scheme: one capsule 2-3 r. in day 7 days;
• ciprofloxacin. Scheme: one capsule 2 r. a day is also 7 days;
• azithromycin: one capsule 1 p. a day, for three days;
• phenoxymethylpenicillin: three capsules per day for 5 days.

2. For injection:

• cefazolin - intramuscular injection, up to 4 r. per day, 5 days;
• Netilmicin - ear injection, 2 r. per day for 7 days.

3. For topical application (instillation in the ear), an alcohol solution of chloramphenicol is used.

What antibiotics should I take with acute otitis media, and which ones should be applied externally?

Acute catarrhal otitis media, in general, does not require antibiotic therapy. The appointment of such drugs is necessary only in extreme cases, when traditional treatment has not had positive results.

Symptoms:

• sharp pain in the ear;
• obstruction of the ear;
• a strong increase in body temperature;
• noise in the ear;
• headache;
• tooth pain.

Antibiotics are used:

1. For oral administration, the same drugs are used as in the case of chronic purulent otitis media.
2. For intramuscular injections, it is recommended to use cefazolin.
3. For topical application:

• normax;
• norfloxacin;
• otofa;
• cipromed;
• fugentin;
• fuzafunzhin - spray.

Drops are used according to the instructions.

What antibiotics can I treat with external otitis media?

Usually, the use of local antifungal agents is sufficient to treat inflammatory processes on the skin of the external auditory canal. If the nature of the disease is protracted and accompanied by severe pain, it is justified to prescribe bactericidal preparations.

Symptoms:

• pain from touching the auricle;
• an earache;
• feeling of ear stiffness;
• increased lymph nodes;
• low hearing loss;
• purulent discharge from the auricle.

Antibiotics for external otitis:

1. For oral administration:

• nystatin: two capsules 4 r. in day 14 days;
• azithromycin: on the first day of treatment - two capsules per day, starting with the second - one capsule of 1 p. per day, only 5 days;
• Ampicillin: one capsule 3 r. per day for 5 days.

2. For topical application:

• ofloxacin;
• neomycin;
• sophrax;
• gramicidin - alcohol drops;
• Oxycort - ointment with hydroortisone and oxytetracycline.

Preparations for topical use are instilled and applied in accordance with the attached instructions.

Do not self-prescribe bactericidal drugs and antibiotic therapy. This can lead to a worsening of the general condition and provoke the development of superinfection.

WomanAdvice.ru

Otitis of the middle ear - treatment, antibiotics

Otitis- an inflammation of any part of the ear, for example, distinguish between otitis media and external otitis media. This disease can be acute or chronic. Infection, most often, manifests itself after or during a cold. It can be a complication after a previous illness, an infection can simply be "puffed up with a draft".

Antibiotics for otitis media

The most common symptoms of otitis media are ear pain, hearing loss, and fever. If you suspect that you have otitis, then you should see a doctor. It happens that the disease itself passes in a few days, but it does not make sense to wait, because Otitis can lead to serious complications, for example, to complete hearing loss. In addition, the infection causes accumulation of fluid in the ear - an effusion in which various bacteria feel favorable, provoking pressure on the tympanic membrane. Therefore, it is better to go to the doctor, than then "rake" the problems.

The otolaryngologist will examine the ear with an otoscope and make an accurate diagnosis. If your assumptions are confirmed, then with otitis media, antibiotics are prescribed. You may also be prescribed anti-inflammatory drugs, some pain medication. What antibiotic to take a patient with otitis - the doctor decides, depending on the severity of the disease, on its duration.

Such drugs as:

• ampicillin;
• amoxicillin;
• spiramycin;
• ciprofloxacin;
• azithromycin;
• phenoxymethylpenicillin and others.

These antibiotics act in a complex manner. All these drugs are administered orally, the dosage must be prescribed by the attending physician, and he will warn you about contraindications or side effects. There are antibiotics for injections:

• cefazolin;
• netilmicin and others.

You can take drops of chloramphenicol for instillation in the ear. Quite good means for acute otitis are considered to be normax, otofa, fugentin. So, to determine what antibiotics to drink when taking otitis, you need to know whether it is acute or chronic. In general, preparations for oral administration do not differ, but ear drops can be different.

In the treatment of middle purulent otitis with antibiotics, recovery occurs within a week. But the treatment is continued until the hearing is fully restored.

Otorhinolaryngitis - treatment with antibiotics

If you have managed to get sick with these kinds of otitis, then again you need to start with a visit to the room of an otolaryngologist and not neglect treatment. Symtom in this disease - a sense of congestion in the ears, pain even when touched to the ear, an increase in lymph nodes, temperature, pus, which is released from the ear.

Recommended antibiotics for external otitis:

• nystatin;
• azithromycin;
• ampicillin and others.

For those who prefer droplets:

• sophrax;
• ofloxacin, etc.

General recommendations

Antibiotics for sinusitis and otitis began to be used not so long ago, but this treatment is justified, because. allows you to quickly remove the pain,

to restore hearing, to avoid consequences. Of course, it's better not to get sick, but if such a nuisance happened to you, then do not delay, be sure you are treated, because all the organs of our body are interconnected and one disease can cause another. Antibiotics should not be prescribed to yourself, but according to the prescription you can drink them without fear for your health, or rather, thanks to them, your health will improve. Along with antibiotics, you need to take probiotics, which will eliminate the dysbacteriosis that is unavoidable in such treatment.

Take care of your ears and ears, wear hats, avoid drafts, and cure colds on time. And be healthy!

WomanAdvice.ru

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 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

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. The indication may 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:

1. Children older than two years.
2. Only one ear is inflamed.
3. 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, you should grease around the ear with a baby cream, dab the cloth in a warm alcohol solution, which is diluted 1: 1 with water, and attach to the ear, so that the sink is not closed, then put paper on top, and on paper cotton wool, fixing it all with a 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

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