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
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 by, 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 (by, 75 or, 25 g orally two to three times a day) or Cefuroxime (inside by, 5 or, g twice in day).
If the above antibacterial agents are intolerant or ineffective, macrolide antibiotics are prescribed (Rulid po, 5 orally twice a day; Spiramycin per million IU twice daily).
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, warmed up to 37 ° С, -1% Dioxydin solution or Tsipromed ear drops are injected into the ear. With lethargic otitis media, iodine and lyapis tinctures can be used (40%).
Leonid Spirtus
The best (checked repeatedly) helps peanut butter: squeeze garlic croutons juice from 1-2 walnuts 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
Amoxicillin in acute otitis media
Amoxicillin is an antibiotic used to treat bacterial infections of the ear, as well as other inflammatory diseases. Amoxicillin is also used for sinusitis.Amoxicillin acts against all bacteria-causative agents of acute otitis media of the middle ear.
It is effective even in the treatment of otitis caused by highly resistant bacteria.
Children of nursery and kindergarten age and people with severe illness take amoxicillin from a week to 10 days, children from 6 years - from 5 days to a week.
Dosage of amoxicillin for adults and children with otitis:
- For children who are ten years old, the usual dose of amoxicillin (for mild or moderate symptoms of inflammation of the middle ear) is 500 mg three times a day. In case of severe infection, the dosage can be increased to 1000 mg three times a day.
- Children from 40 kgmust comply with the recommended dosage for adults.
- Children under 2 years oldAmoxicillin is given as a suspension at a rate of 20 mg per kg of body weight, in three divided doses.
- Children over 2 and under 5 years of age: 125 mg daily.
- Children over 5 and under 10 years of age: 250 mg three times a day.
- Adults: for mild or moderate infections, the standard dose of amoxicillin in otitis media is 500 mg every half day or 250 mg every 8 hours.
- In case of serious infections: 875 mg every half day or 500 mg every 8 hours.
Children who have an ear infection accompanied by fever and vomiting, most likely, need immediate antibiotic treatment. Children who do not have high fever and vomiting are unlikely to have complications from otitis and, most likely, do not need antibiotic treatment.
There are situations when antibiotics can be administered promptly:
- The child complains of moderate or severe pain in the ear.
- The child has a fever (more than 38 ° C).
- The child drinks a little liquid (dehydrated).
- The child is diagnosed with serious chronic diseases, such as heart disease or cystic fibrosis. They increase the risk of complications from ear infection.
- The child has not yet turned 2 years old.
- The child's condition worsened or did not improve between 48-72 hours after the first symptoms of acute catarrhal otitis.
However, the decision to prescribe amoxicillin or another antibiotic for the treatment of ear inflammation should only be taken by a doctor.
Amoxicillin in otitis in adults and children does not give a result - what to do?
Some types of bacteria over time have developed resistance to amoxicillin.Critics of the intensive use of antibiotics in the United States note that millions of recipes with amoxicillin in otitis media in adults and children have helped to create these resistant strains of bacteria.
Indications for the use of another drug with an antibiotic include, but are not limited to:
- No improvement at the initial stage of treatment of acute otitis media with amoxicillin.
- Hypersensitivity - allergy to penicillin.
- A concomitant otitis disease, requiring other treatment, for example, with the concurrence of otitis with purulent conjunctivitis.
- Treatment with amoxicillin within the last 30 days.
If the initial treatment with amoxicillin for otitis in adults and children fails, the doctor can prescribe a prescription for a drug containing a high dose of amoxicillin and clavulanate as the preferred choice of the second line treatment.
The combination of clavulanate and amoxicillin provides the drug with an additional efficacy against microorganisms producing beta-lactamase.
Amoxicillin (Flemoxin) and clavulanate often causes gastrointestinal disorders, such as diarrhea. This can be a problem for people with a weakened body.
gajmorit.com
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 until, 5 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. Single dosage is usually 5 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 for otitis media can cause damage useful flora of the intestine, the doctor should 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.
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