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Most children older than 6 months of age who have acute otitis media do not benefit from treatment with antibiotics. If antibiotics are used, a narrow-spectrum antibiotic like amoxicillin is generally recommended, as broad-spectrum antibiotics may be associated with more adverse events.
In a post-marketing surveillance evaluating safety in 2006 children with acute otitis media treated with cefditoren (median daily dose: 10.0 mg/kg with a median total treatment period of 7 days), the incidence of adverse reactions was 1.79%, without unexpected or serious adverse drug reactions reported.
Otitis media. Acute otitis media is an infection of the middle ear. More than 80% of children experience at least one episode of otitis media by age 3 years. [23] Acute otitis media is also most common in these first 3 years of life, though older children may also experience it. [19]
Recurrent acute otitis media: three ear infections in six months or four infections in a year. [1] [7] Chronic otitis media with persistent effusion for six months (one ear) or three months (both ears). [1] [7] Tympanostomy tubes should only be inserted in children with persistent effusion during an active episode of effusion. [1]
Recommended test frequencies are 1000, 2000, and 4000 Hz, at 20 dB HL according to the ASHA (1997) [43] guidelines for screening audiometry. However, 500 Hz has been found to identify the auditory impact of otitis media with effusion in children and should be included at 25 dB HL when permitted by ambient noise levels (WHO, 1997). [44]
Children with acute otitis media who are younger than six months of age are generally treated with amoxicillin or other antibiotics. Although most children with acute otitis media who are older than two years old do not benefit from treatment with amoxicillin or other antibiotics, such treatment may be helpful in children younger than two years old with acute otitis media that is bilateral or ...
For children under 3: [3] Follow the steps for adults and teenagers, however, in step 4, gently pull the earlobe back and down to straighten the ear canal. For children 3 and over: [3] Follow the steps for adults and teenagers. Eye drops can generally be used safely in the ears, but ear drops should never be used in the eyes. [4]
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