Sunday, December 4, 2022

What Antibiotic Is Prescribed For Ear Infection

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How Should I Use Clindamycin

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Take clindamycin exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

Clindamycin oral is taken by mouth. Clindamycin injection is injected into a muscle, or as an infusion into a vein. A healthcare provider will give your first dose and may teach you how to properly use the medication by yourself.

Take the capsule with a full glass of water to keep it from irritating your throat.

Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device .

You may need frequent medical tests during treatment.

If you need surgery, let your surgeon know you use clindamycin as it may interact with certain drugs used for anesthesia.

Use this medicine for the full prescribed length of time, even if your symptoms quickly improve. Skipping doses can increase your risk of infection that is resistant to medication. Clindamycin will not treat a viral infection such as the flu or a common cold.

Store at room temperature away from moisture and heat. Protect the injectable medicine from high heat.

Do not store the oral liquid in the refrigerator. Throw away any unused oral liquid after 2 weeks.

What Are The Possible Side

It is not possible in this leaflet to list all the possible side-effects of each antibiotic. However, as with all medicines, there are a number of side-effects that have been reported with each of the different antibiotics. If you want more information specific to your antibiotic then you should read the information leaflet that comes with the medicine.

Most side-effects of antibiotics are not serious. Common side-effects include soft stools , diarrhoea, or mild stomach upset such as feeling sick . Less commonly, some people have an allergic reaction to an antibiotic and some have died from a severe allergic reaction â this is very rare.

You should tell your doctor if you have any of the following side-effects:

Some antibiotics may interact with other medicines that you might take. This may cause reactions, or reduce the effectiveness of one or other of the treatments. So, when you are prescribed an antibiotic you should tell a doctor if you take other medicines.

When Should I See A Doctor

You should visit your doctor if:

  • you or your child is in pain
  • there is discharge from your or your child’s ear
  • you or your child is unwell or vomiting or has a fever
  • you or your child can’t hear properly
  • your child gets repeated ear infections

Go to your nearest emergency department if there is redness, pain or swelling of the bone behind the ear or if the ear is pushed forward. This could be a sign of a serious infection called mastoiditis.

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Do You Need Antibiotics

Your physician may recommend a watch-and-see approach rather than prescribing antibiotics right away. Typically, you will keep an eye on symptoms for three days to see if they improve. This approach usually is used for children whose ear infections cannot be definitively diagnosed or who are under the age of 2.

If the infection does not clear up, you will need antibiotics. In some cases, a doctor will write you a prescription just in case the infection does not clear up.

If the ear infection is caused by a virus, antibiotics will not be prescribed because they do not work against viruses. Relieving symptoms while keeping an eye on the progression of the infection is the best course of treatment for a viral ear infection.

Should I Seek Early Treatment

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Yes. In the early stages it can be possible to treat a felon successfully with tablet antibiotics, rest, elevation and immobilisation. Once your pain has become constant and severe it is unlikely that the infection will clear up without surgery and you need to see a surgeon urgently. If you have diabetes or a medical condition that affects your immune system you are at greater risk of a bad infection.

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When You Need Themand When You Dont

Many children get ear infections. The infections are usually in the middle ear behind the eardrum. They may be caused by bacteria or by a virus. Doctors often treat bacterial infections with antibiotics. Antibiotics are strong medicines that kill bacteria.

Infants and some babies and children do need antibiotics.

But using antibiotics too often can be harmful. Heres why:

In most cases, antibiotics are not needed.

  • They do not work for ear infections caused by viruses.
  • They do not help the pain.
  • Usually, viral infections and many bacterial infections go away on their own in two to three days, especially in children who are over two years old.

First, call the doctor and treat the pain.

If you suspect your child has an ear infection, you should call the doctors office and describe the symptoms. Usually, your doctor should ask you to wait a few days before bringing your child in.

The main sign of an ear infection is pain, especially on the first day. Or, a child may have a fever.

Start by giving your child an over-the-counter pain reliever, such as:

  • acetaminophen .

Antibiotics do not relieve pain in the first 24 hours. They only have a small effect on pain after that. So, pain relievers are an important treatment, and usually they are the only treatment needed.

When is treatment with antibiotics needed?If the infection is very painful and lasts more than a few days, chances are it is a bacterial infection.

02/2021

Which Antibiotic Is Best For An Ear Infection

Two classes of antibiotics are commonly used to treat an ear infection.

Aminoglycosides

Aminoglycosides have been the main treatment for bacterial ear infections for decades. Two aminoglycosides used in ototopical preparations are:

Though both of the above are commonly used in the United States, only neomycin has FDA approval. Neomycin is effective for gram-positive bacteria but its effectiveness against gram-negative bacteria has declined over years, especially against Pseudomonas, the most common bacteria in ear infections.

Tobramycin is effective for Pseudomonas and other gram-negative bacteria.

Quinolones

Quinolones are the most recently introduced ototopical antibiotics. Most quinolone antibiotics in use are fluoroquinolones, which also contain an atom of fluorine. Fluoroquinolones are considered the best available treatment now for ear infections for two reasons:

  • Broad spectrum of activity against both gram-positive and gram-negative bacteria
  • Lack of ototoxicity

Following are some of the FDA-approved fluoroquinolone solutions for external ear infection from Staphylococcus aureus and Pseudomonas aeruginosa:

Ciprofloxacin

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When Are Antibiotics Usually Prescribed

Antibiotics are normally only prescribed for more serious infections with germs .

Most common infections are caused by viruses, when an antibiotic will not be of use. Even if you have a mild bacterial infection, the immune system can clear most bacterial infections. For example, antibiotics usually do little to speed up recovery from most ear, nose and throat infections that are caused by bacteria.

So, do not be surprised if a doctor does not recommend an antibiotic for conditions caused by viruses or non-bacterial infections, or even for a mild bacterial infection.

However, you do need antibiotics if you have certain serious infections caused by bacteria, such as meningitis or pneumonia. In these situations, antibiotics are often life-saving. When you are ill, doctors are skilled at checking you over to rule out serious illness and to advise if an antibiotic is needed. Urine infections also commonly need antibiotics to prevent spread to the kidneys.

Antibiotics can also be prescribed to treat acneâ a less serious condition. For acne, antibiotics can be taken by mouth or applied directly to the skin.

Whats The Difference Between Antibiotic Solutions And Suspensions

Medical Myth: Ear Infections Require Antibiotics

Solutions are liquids where the active ingredients are dissolved. Suspensions are liquids in which the particles are suspended, or scattered throughout the liquid, and not quite dissolved. Some medications are stable as a suspension but not as a solution.

The main difference between the two is how irritating they might be. Antibiotic solutions are generally more irritating than suspensions because solutions have a more acidic pH of 3-4, whereas suspensions have a less acidic pH of 5.

Solutions may also contain alcohol to help kill bacteria, but the alcohol can be extremely irritating when these solutions are applied.

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Why Do Children Get Many More Ear Infections Than Adults Will My Child Always Get Ear Infections

Children are more likely than adults to get ear infections for these reasons:

  • The eustachian tubes in young children are shorter and more horizontal. This shape encourages fluid to gather behind the eardrum.
  • The immune system of children, which in the bodys infection-fighting system, is still developing.
  • The adenoids in children are relatively larger than they are in adults. The adenoids are the small pads of tissue above the throat and behind the nose and near the eustachian tubes. As they swell to fight infection, they may block the normal ear drainage from the eustachian tube into the throat. This blockage of fluid can lead to a middle ear infection.

Most children stop getting ear infections by age 8.

Choosing An Antibiotic For Skin Infections

A new study in the New England Journal of Medicine on treatment of skin infections compares treatment with trimethoprim sulfamethoxazole or clindamycin. Surprisingly, both worked equally well in this 524 patient study, curing about 89% of outpatients with uncomplicated skin infections cellulitis and abscesses, so the authors appear to encourage use of one of these drugs because they are better at treating MRSA than are currently recommended antibiotics.

I think this is a bad ideait fuels the escalating use of broader spectrum antibiotics with more side effects, at a time when antibiotic development is languishing. It also encourages the just in case type of response, rather than prescribers actually thinking about what kind of bacterial infection the patient might have. The authors also used a 10-day course of treatment, when expert recommendations are encouraging 5-7 days treatment to try to reduce risks to patients.

While this study adds important information comparing two commonly used drugs for treating skin infection, it should not result in a change in current antibiotic treatment recommendations.

The technical details

The study was well-done, in that it was randomized and double-blinded, meaning that neither the patient nor the investigator knew which treatment the patient was receiving.

Erysipelas

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What Does An Ear Infection Feel Like

Symptoms depend on which part of your ear is infected and can include:

  • ear pain or itch
  • discharge from your ear
  • redness or swelling of your ear

Babies and small children might:

  • pull or rub their ear
  • have a high temperature
  • have redness around the ear
  • be restless or irritable
  • not respond to noises that would normally attract their attention

How Is A Skin Infection Treated

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Treatment depends on the cause of the infection and the severity. Some types of viral skin infections may improve on their own within days or weeks.

Bacterial infections are often treated with topical antibiotics applied directly to the skin or with oral antibiotics. If the strain of bacteria is resistant to treatment, treating the infection may require intravenous antibiotics administered in the hospital.

You can use over-the-counter antifungal sprays and creams to treat a fungal skin infection. If your condition doesnt improve, ask your doctor about prescription oral or topical creams. In addition, you can apply medicated creams to your skin to treat parasitic skin infections. Your doctor may also recommend medications to reduce discomfort like anti-inflammatory drugs.

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When Should I Return To My Healthcare Provider For A Follow

Your healthcare provider will let you know when you need to return for a follow-up visit. At that visit, you or your childs eardrum will be examined to be certain that the infection is going away. Your healthcare provider may also want to test you or your child’s hearing.

Follow-up exams are very important, especially if the infection has caused a hole in the eardrum.

What Are The Harms Of Fluid Buildup In Your Ears Or Repeated Or Ongoing Ear Infections

Most ear infections dont cause long-term problems, but when they do happen, complications can include:

  • Loss of hearing: Some mild, temporary hearing loss usually occurs during an ear infection. Ongoing infections, infections that repeatedly occur, damage to internal structures in the ear from a buildup of fluid can cause more significant hearing loss.
  • Delayed speech and language development: Children need to hear to learn language and develop speech. Muffled hearing for any length of time or loss of hearing can significantly delay or hamper development.
  • Tear in the eardrum: A tear can develop in the eardrum from pressure from the long-lasting presence of fluid in the middle ear. About 5% to 10% of children with an ear infection develop a small tear in their eardrum. If the tear doesnt heal on its own, surgery may be needed. If you have drainage/discharge from your ear, do not place anything into your ear canal. Doing so can be dangerous if there is an accident with the item touching the ear drum.
  • Spread of the infection: Infection that doesnt go away on its own, is untreated or is not fully resolved with treatment may spread beyond the ear. Infection can damage the nearby mastoid bone . On rare occasions, infection can spread to the membranes surrounding the brain and spinal cord and cause meningitis.

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What Can I Do To Prevent Ear Infections

Middle ear infections are often a result of a simple cold. While its hard to prevent colds, good hygiene can help lower your chance of catching one.

Keep your child away from cigarette smoke. Exposure to cigarette smoke increases your childs risk of ear infections.

If your child keeps getting ear infections, they may need grommets put in their ears to prevent recurring infection.

Your risk of an outer ear infection may be reduced by:

  • ensuring that you or your child drain water out of your ears after swimming
  • using ear plugs for swimming if you are prone to these infections
  • not putting anything into your ear, not even a cotton bud, even if your ear feels blocked or painful

For Pharyngitis Or Tonsillitis

Antibiotic Awareness: Ear Infection or Acute Otitis Media

Adult dosage

Your doctor may prescribe 500 mg in a single dose on day 1, followed by 250 mg once per day on days 2 through 5.

Child dosage

The typical dosage is 12 mg/kg of body weight once per day for 5 days.

Child dosage

This drug should not be used for this condition in children who are younger than 2 years.

Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. This information is not a substitute for medical advice. Always speak with your doctor or pharmacist about dosages that are right for you.

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How Long To Take It

Take your azithromycin for the duration prescribed by your provider.

Usually, this is between 3-10 days. Make sure to take the medication on time and complete the full treatment course before discontinuing the drugeven if youve begun to feel better.

Starting and quitting the drug before the specified day can cause bacteria to become resistant to antibiotics.

Where Can I Find Additional Information About Ear Infections

The NIDCD maintains a directory of organizations that provide information on the normal and disordered processes of hearing, balance, smell, taste, voice, speech, and language.

Use the following keywords to help you search for organizations that can answer questions and provide printed or electronic information on ear infections:

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To Use The Eardrops Follow These Steps:

  • Hold the bottle or single-dispensing container in your hand for 1 or 2 minutes to warm the solution.
  • Lie down with the affected ear upward.
  • Place the prescribed number of drops or the contents of the prescribed number of single-dispensing containers into your ear
  • If you are using a bottle of solution, be careful not to touch the tip to your ear, fingers, or any other surface.
  • For middle ear infections, push the tragus of the ear inward four times so that the drops will enter the middle ear.
  • Remain lying down with the affected ear upward for 5 minutes.
  • Repeat steps 1-6 for the opposite ear if necessary.
  • Ear Infection Treatment Options

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    Due to the variety of ear infections, patients may be given a few different treatment options. Middle ear infections do not always require prescription medication due to the bodys natural ability to fight off the infection. Your doctor or pediatrician may recommend a method of treatment called watchful waiting. This involves two to three days of rest, drinking lots of fluids, and the use of over-the-counter pain relievers as needed. If after two to three days the patient is not improving, the doctor may write a prescription for antibiotics. Alternatively, the physician may write a prescription for an antibiotic but recommend waiting two to three days before filling in case the ear infection clears up in the meantime.

    In some cases, using a tympanostomy tube may be necessary to prevent fluid from building up in the ear and to assist with relieving air pressure near the eustachian tube.

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