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Infectious Diseases / Bacteria / Viruses

How do the penicillins function?

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Penicillins are a group of antibacterial drugs which target a vast array of bacteria. These were the first such medicines that doctors used. Penicillin development and manufacture has changed the face of medicine, as these medicines have saved millions of lives.

Penicillium fungi are the origins of the penicillin that can be taken orally or by injection.

Penicillins are now commonly used by people all over the world to treat illnesses and diseases.

Fast facts on penicillin

  • Penicillins were the first antibiotic that doctors used.
  • There are several antibiotics in the penicillin class.
  • Experts credit Alexander Fleming with discovering penicillins.
  • Penicillin works by interfering with bacteria cell walls.
  • Less than 1 percent of people are dangerously allergic to penicillin.

Function

Penicillins function by plucking bacteria's cell wall
Penicillins function by plucking bacteria’s cell wall

Drugs in the penicillin class work through the indirect bursting of walls of bacterial cells. We do this by acting directly on peptidoglycans, which in the bacterial cells play an important structural role.

Peptidoglycans build a mesh-like structure around the bacterial cell plasma membrane which increases the strength of the cell walls and prevents the entry of external fluids and particles into the cell.

Small holes emerge in its cell walls when a bacterium multiplies, as the cells divide. Then fill these holes with newly-produced peptidoglycans to repair the walls.

Penicillins block the struts of protein that tie peptidoglycans together. This prevents the bacterium from closing holes in the walls of its cells.

As the surrounding fluid’s water content becomes greater than that inside the bacterium, water rushes into the cell through the openings, and the bacterium bursts.

History

The discovery of penicillins is generally attributed to Alexander Fleming. The story goes that one day, in September 1928, he returned to his laboratory to find a Petri dish no longer in place containing Staphylococcus bacteria with its lid.

The dish had become tainted with Penicillium notatum, a blue-green slime. Fleming found there was a strong ring around the mold where the bacteria could not expand.

Fleming set the wheels in motion by finding this model and understanding its use, to produce one of the most effective drugs in medical history.

Anne Miller became the first civilian to get effective penicillin therapy in March 1942. After a miscarriage she narrowly avoided death after serious infection.

Although the first antibiotic was theoretically discovered by Fleming, scientists had to do more research before penicillins could become available for general use.

The majority of the work was carried out by scientists with a superior laboratory and a deeper understanding of chemistry than Fleming. Howard Florey, Norman Heatley, and Ernst Chain carried out the first in-depth, concentrated drug trials.

In Fleming’s acceptance speech for the Nobel Prize, he cautioned that one day, the overuse of penicillins could lead to bacterial resistance.

Resistance

Contrary to popular opinion, it is not the person who develops penicillin resistance but the bacteria themselves.

A billion years ago, bacteria were around. They have encountered extreme environments during this period, and are therefore highly adaptable. We often recover very rapidly, allowing for relatively rapid genetic changes across a population.

Bacteria can develop an immunity to penicillin in three common ways:

  • Penicillinase: Sometimes, bacteria may produce penicillinase, an enzyme which degrades penicillins. This ability will spread throughout the bacterial community in a process called conjugation, through a small ring of DNA. This is the bacterial counterpart of sexual reproduction, where new genetic information is shared between individual organisms.
  • Altered bacterial structure: Many bacteria in their peptidoglycan wall can subtly change the format of the penicillin-binding proteins, so penicillins can no longer bind to it.
  • Removal of penicillins: Most bacteria grow penicillin export networks. Bacteria have efflux pumps which are used to release cell substances. Some of those pumps may be repurposed to allow the cell to dispose of penicillins.

Side effects

Nausea is a common side effect of penicillin take
Nausea is a common side effect of penicillin take

The most commmon side effects of penicillin-taking include:

  • diarrhea
  • nausea
  • headache
  • skin rashes and hives

Less common side effects include:

  • shortness of breath or irregular breathing
  • joint pain
  • sudden lightheadedness and fainting
  • puffiness and redness of the face
  • scaly, red skin
  • vaginal itching and discharge, due to either a yeast infection or bacterial vaginosis
  • sore mouth and tongue, sometimes with white patches
  • abdominal cramps, spasms, tenderness, or pain

Rare side effects include:

  • anxiety, fear, or confusion
  • a sense of impending doom
  • hallucinations
  • yellowing of the eyes and skin
  • a sore throat
  • unusual bleeding
  • diarrhea and reduced urination
  • convulsions

Risk

While penicillin use is widespread, there may be some problems or contraindications, as with any drug:

  • Breast-feeding: Small amounts of penicillin may be transmitted to the infant by those breast-feeding. This can lead to allergic reactions, vomiting, fungal infections and skin rash sustained by the child.
  • Interactions: Some other medications can conflict with penicillins. It is critical that you meet with a doctor before taking multiple medications.
  • Bleeding problems: Some penicillins, such as carbenicillin, piperacillin, and ticarcillin can exacerbate pre-existing bleeding issues.
  • Oral contraceptives: Penicillins may interfere with birth control pills and may increase the risk of unwanted pregnancies.
  • Cystic fibrosis: By taking piperacillin, people with cystic fibrosis are more likely to suffer fever and skin rashes.
  • Kidney disease: An increased risk of side effects is present for individuals with kidney disease.
  • Methotrexate: Methotrexate interferes with cell growth and can treat various conditions including leukemia and certain autoimmune diseases. Penicillins prevent it medication from being disposed of by the body which could lead to severe complications.
  • Phenylketonuria: Many stronger chewable amoxicillin tablets contain high aspartame levels which are converted to phenylalanine by the body. This is dangerous to anyone suffering from phenylketonuria.
  • Gastrointestinal problems: When taking penicillins, patients with a history of stomach ulcers or other intestinal disorders may be more likely to develop colitis.

Penicillin allergy

A few may have penicillin allergies.

Allergic reactions to penicillin usually cause hives, wheezing, and swelling, particularly of the face.

About 10 percent of people record penicillin allergy, but the actual figure is closer to 1 percent, and only about 0.03 percent have life-threatening allergic reactions.

Alcohol and penicillin

Many antibiotics, including metronidazole and tinidazole, have severe alcohol-reactions. That’s not the case for penicillins though.

Takeaway

Penicillins have saved countless lives in medicine during their usage history. Today doctors are concerned about rising antibiotic resistance, however. Only time will tell how future antibiotics will conquer that barrier.

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Immune System / Vaccines

Types, symptoms, and treatments of cytomegalovirus

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Cytomegalovirus is a typical herpes virus. Many people are unaware they have it since they show no signs or symptoms.

However, the virus can cause issues during pregnancy and in people with a compromised immune system because it remains dormant in the body.

The virus spreads through bodily fluids and can be passed on to an unborn child by a pregnant woman.

Cytomegalovirus, also known as HCMV, CMV, or human herpesvirus 5 (HHV-5), is the most frequent virus transmitted to a growing baby.

According to the Centers for Disease Control and Prevention (CDC), more than half of all people in the United States have contracted the virus by the age of 40. It affects both men and women equally, regardless of age or ethnicity.

Causes

consulting a doctor

Fluids such as saliva, sperm, blood, urine, vaginal fluids, and breast milk can spread acquired cytomegalovirus between people.

The virus can also be contracted by touching a virus-infected surface and then touching the interior of the nose or mouth.

The virus is most commonly contracted in childhood, at daycare centres, nurseries, and other places where children are in close proximity to one another. The immune system of a child at this age, on the other hand, is typically capable of dealing with an infection.

CMV can recur in people who have a compromised immune system as a result of HIV, organ transplantation, chemotherapy, or long-term use of oral steroids.

Congenital CMV develops when a female catches the virus for the first time during pregnancy or shortly before conception.

A dormant CMV infection might resurface during pregnancy, especially if the mother has a compromised immune system.

Symptoms

Depending on the type of CMV, the symptoms will vary.

Acquired CMV

The majority of people with CMV do not show any symptoms, however if they do, they may include:

  • swollen glands
  • joint and muscle pain
  • low appetite and weight loss
  • fever
  • night sweats
  • tiredness and uneasiness
  • sore throat

After two weeks, the symptoms should be gone.

Recurring CMV

The symptoms of recurrent CMV differ depending on which organs have been affected by the infection. The eyes, lungs, and digestive system are all likely to be affected.

Among the signs and symptoms are:

  • fever
  • diarrhea, gastrointestinal ulcerations, and gastrointestinal bleeding
  • shortness of breath
  • pneumonia with hypoxemia, or low blood oxygen
  • mouth ulcers that can be large
  • problems with vision, including floaters, blind spots, and blurred vision
  • hepatitis, or inflamed liver, with prolonged fever
  • encephalitis, or inflammation of the brain, leading to behavioral changes, seizures, and even coma.

Any of these symptoms should be reported to a doctor by someone with a reduced immune system.

Congenital CMV

According to the National CMV Foundation, approximately 90% of kids born with CMV show no symptoms, but 10–15% will develop hearing loss during their first 6 months of life. The degree of hearing loss varies from mild to complete deafness.

The infection will affect only one ear in half of these children, but the other half will experience hearing loss in both ears. Hearing loss in both ears can increase the risk of speech and communication issues in the future.

If congenital CMV is present at birth, symptoms may include:

  • enlarged spleen
  • seizures
  • jaundice
  • pneumonia
  • spots under the skin
  • low birth weight
  • Purple skin splotches, a rash, or both
  • enlarged liver

Some of these signs and symptoms can be treated.

In roughly 75% of babies born with congenital CMV, the virus will affect the brain. This could lead to difficulties later in life.

They may be exposed to the following conditions:

  • autism
  • central vision loss, scarring of the retina, and uveitis, or swelling and irritation of the eye
  • cognitive and learning difficulties
  • deafness or partial hearing loss
  • epilepsy
  • impaired vision
  • problems with physical coordination
  • seizures
  • small head

Treatments

Scientists have been looking for a CMV vaccine, however there is no cure as of yet.

People with acquired CMV who encounter the virus for the first time can ease symptoms with over-the-counter (OTC) pain relievers like Tylenol (acetaminophen), ibuprofen, or aspirin, and should stay hydrated.

Antiviral drugs, such as ganciclovir, can be used to inhibit the spread of CMV in people who have it congenitally or on a regular basis.

These drugs have the potential to cause side effects. Hospitalization may be required if there is substantial organ damage.

It’s possible that newborns will need to be admitted to the hospital until their organ functions return to normal.

Prevention

The following precautions may help minimise the risk of developing CMV:

  • Hands should be washed with soap and water on a frequent basis.
  • Kissing a small child should be avoided at all costs, including contact with tears and saliva.
  • When passing around a drink, avoid sharing glasses and kitchen equipment.
  • Diapers, paper handkerchiefs, and other such items should be disposed of with care.
  • To prevent CMV from spreading through vaginal secretions and sperm, use a condom.

The Centers for Disease Control and Prevention (CDC) advises parents and caregivers of children with CMV to seek treatment as soon as possible, whether that means taking medication or attending all appointments for services such as hearing tests.

Types

CMV infections are classified as either acquired, recurrent, or congenital.

  • When a person contracts CMV for the first time, it is known as acquired or primary CMV.
  • When a person already has CMV, it is referred to as recurrent CMV. The virus is dormant and then becomes active due to a weak immune system.
  • When a person contracts CMV while pregnant and passes it on to the foetus, this is known as congenital CMV.

Except when it affects an unborn child or a person with a weakened immune system, such as a recent transplant recipient or someone living with HIV, CMV is normally not an issue.

CMV infection can cause organ failure, eye damage, and blindness in HIV patients. In recent years, advances in antiviral treatment have lowered the risk.

Immunosuppressants are used by people who have had organ and bone marrow transplants to suppress their immune systems so that their bodies do not reject the new organs. In these people, dormant CMV can become active and cause organ damage.

Antiviral medications may be given to transplant recipients as a prophylactic against CMV.

The virus can be passed to the foetus by a pregnant woman. This is referred to as congenital CMV.

According to the Centers for Disease Control and Prevention, about one in every 200 newborns is born with the virus.

The majority of these babies will show no signs or symptoms, but about 20% will have symptoms or long-term health issues, such as learning challenges.

Vision and hearing loss, small head size, weakness, trouble using muscles, coordination issues, and seizures are all possible symptoms.

Diagnosis

A blood test can detect antibodies produced by the body as a result of the immune system’s response to the presence of CMV.

A pregnant woman faces a low risk of CMV reactivation affecting her unborn child. If a doctor suspects a pregnant woman has CMV, an amniocentesis may be recommended. To determine whether the virus is present, a sample of amniotic fluid is extracted.

The newborn will be tested within the first three weeks of life if the doctor suspects congenital CMV. Testing for congenital CMV after 3 weeks will not be definitive because the kid may have contracted the virus after birth.

Even if the virus is not active, anyone with a weaker immune system should get tested. Testing for vision and hearing issues will be done on a regular basis as part of the CMV complications monitoring.

Complications

CMV causes just a small percentage of healthy people to become very ill.

CMV mononucleosis, a condition in which too many white blood cells have a single nucleus, can occur in people with a weaker immune system.

Sore throat, swollen glands, swollen tonsils, fatigue, and nausea are some of the symptoms. It can cause hepatitis, or inflammation of the liver, as well as spleen enlargement.

Mononucleosis induced by the CMV is comparable to mononucleosis caused by the Epstein-Barr Virus (EBV). Glands fever is another name for EBV mononucleosis.

Other CMV problems include:

  • gastrointestinal problems, including diarrhea, fever, abdominal pain, colon inflammation, and blood in the feces
  • liver function problems
  • central nervous system (CNS) complications, such as encephalitis, or inflammation of the brain
  • pneumonitis, or inflammation of lung tissue.

Sources:

  • http://www.cdc.gov/cmv/index.html
  • https://www.nationalcmv.org/overview/outcomes
  • https://www.medicalnewstoday.com/articles/173811

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Complementary Medicine / Alternative Medicine

Safe and effective home treatments for kidney infection

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Kidney infections are caused by an overabundance of germs in the kidney. Another name for it is Pyelonephritis. Kidney infections can be serious enough to necessitate hospitalization, so home treatments are usually insufficient to treat them.

Because kidney infections have the greatest potential to harm the kidneys and spread to other parts of the body, they are often the most serious of all urinary tract infections (UTIs). Other UTIs can affect the bladder, ureters, or urethra, but they are less likely to cause harm.

Antibiotics are usually required to control the bacterial overgrowth that causes the condition. Home remedies, in addition to these, may aid in the body’s ability to remove the kidney infection as rapidly as feasible.

If someone feels they have a kidney infection, they should consult a doctor as soon as possible.

When to consult your doctor

If you experience any of the following signs of a possible kidney infection, you should consult a doctor immediately.

  • a fever of more than 103 ℉
  • In the urine, there is blood or pus, a thick white or yellow liquid.
  • they are unable to keep fluids down due to acute vomiting.

If a person has a history of kidney disease or stones, they should seek medical help right away to avoid further kidney damage.

The following are signs that a person should see their doctor as soon as possible if they suspect they have a kidney infection:

  • foul smelling urine
  • frequent urination
  • nausea
  • Is it safe to use home remedies?
  • a burning sensation when urinating
  • chills
  • flank pain, or pain in the sides or back

If a person’s symptoms worsen while taking medications to treat a UTI, they should seek medical attention. This could indicate that their infection has spread to their kidneys.

Is it safe to use home remedies?

It is not a good idea to treat kidney infections with only home treatments.

A person will need antibiotics to treat a kidney infection since it can cause severe symptoms and lead to kidney damage.

Home treatments, on the other hand, can help a person’s recovery and lower the chances of a recurrence of the kidney infection.

Before using any supplements as a home remedy, a person should see their doctor to ensure that they will not interact with any other prescriptions they are currently taking.

Symptom-relieving remedies

Drink plenty of water

Some home treatments and self-care practises that may help minimise kidney infection symptoms are as follows:

Drink plenty of water

When a person has a kidney infection, flushing bacteria from the kidneys is important. According to the National Institute of Diabetes and Digestive and Kidney Diseases, drinking at least six to eight 8-ounce glasses of water each day can assist.

If a person has kidney failure, their doctor may advise them to reduce the amount of fluid they drink.

Consume cranberry juice

Some specialists disagree with the premise of drinking cranberry juice to improve kidney health. However, some research suggests that cranberry juice may assist to reduce the quantity of bacteria in the body when a person has a urinary tract infection (UTI).

Mice with UTIs who drank cranberry juice had lower bacterial counts in their urinary tract, according to a 2018 study published in the journal Frontiers in Microbiology.

The researchers hypothesised that acids found in cranberry juice, such as malic, citric, and quinic acid, protect the urinary system.

Rest

While this cure may appear simple, it has advantages. After a kidney infection, getting lots of rest assists the body to mend.

Use warm, moist heat

Applying a heating pad or a warm water bottle to the area of flank pain might assist to relieve pain and relax irritated nerves.

To prevent the risk of burns, a person should always cover the burning object with a cloth. They should only use heat for 10 to 15 minutes at a time.

Heating pads can be found in stores and on the internet.

Drink green tea or take green tea extract

Green tea extract may have an antimicrobial effect on common bacteria strains that cause UTIs, according to a 2013 study published in the journal Frontiers in Microbiology.

Green tea extracts were administered to bacterial cells in the lab by the researchers. They discovered that green tea suppressed bacterial development over time.

It’s difficult to say whether the outcomes would be the same in humans because the study was conducted in a lab with samples. Green tea may, however, provide health benefits when a person has a urinary tract infection (UTI).

Green tea extract can be found in stores.

Use non-aspirin pain medications instead of aspirin.

Over-the-counter (OTC) pain medications like ibuprofen and acetaminophen can help with a kidney infection’s fever and discomfort.

Aspirin is a blood thinner that might cause high blood levels in a person’s urine, therefore it’s better to avoid it.

If a person is unsure whether or not they can use an over-the-counter pain treatment, they should consult their physician.

Effectiveness

A kidney infection cannot be cured alone with home treatments.

If a person suspects they have a kidney infection, they should consult a doctor for an antibiotic prescription.

Treatments with medicine

In order to treat a kidney infection, doctors will usually prescribe antibiotics. If a person’s symptoms are severe, they may need to be admitted to the hospital for intravenous antibiotics.

Even if they are feeling better, a person should always finish their antibiotic course. This may help to prevent the infection from returning.

If a person has recurrent kidney infections, a doctor may need to examine them further to determine the cause.

Some men, for example, may have an enlarged prostate, which can clog the urinary path and allow bacteria to grow more easily. Others may have a kidney stone that is preventing urine flow.

To address any underlying condition contributing to recurrent kidney infections, doctors may prescribe medications or suggest surgical procedures.

Sources:

  • https://www.frontiersin.org/articles/10.3389/fmicb.2017.00542/full
  • http://www.kidneyfund.org/kidney-disease/kidney-problems/kidney-infection.html
  • https://www.frontiersin.org/articles/10.3389/fmicb.2013.00162/full
  • https://www.medicalnewstoday.com/articles/325887
  • https://www.urologyhealth.org/urologic-conditions/kidney-(renal)-infection-pyelonephritis

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Ear, Nose and Throat

Symptoms, treatment, and causes of ear infections

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Infections in the middle ear can be caused by viruses or bacteria. These frequently cause in pain, inflammation, and fluid accumulation.

Before they become three years old, almost 75% of youngsters will have had at least one ear infection. The most common reason for a child’s visit to the doctor is an ear infection.

Glue ear, secretory otitis media, middle ear infection, and serous otitis media are all terms for ear infections.

Infections of the ear are widely understood, and their frequent recurrence necessitates ongoing investigation. This article discusses the symptoms and causes of ear infections, as well as the treatment choices and diagnostic methods available.

What is it?

ear infections

A bacterial or viral infection of the middle ear is known as an ear infection. Inflammation and fluid buildup in the ear’s interior cavities are caused by this infection.

The middle ear is a space behind the eardrum that is filled with air. It has vibrating bones that translate sound from outside the ear into messages that the brain can understand.

Ear infections hurt because the swelling and accumulation of extra fluid puts pressure on the eardrum.

An ear infection can be acute or chronic. Chronic ear infections might harm the middle ear permanently.

Causes

An ear infection is frequently preceded by a cold, flu, or allergic reaction. These increase mucus in the sinuses, causing the eustachian tubes to discharge fluid slowly. The nasal passages, throat, and eustachian tubes will all be inflamed during the initial illness.

The role of eustachian tubes

The eustachian tubes run from the middle ear to the throat’s rear. These tubes’ ends open and reopen to control air pressure in the middle ear, restock air, and drain natural secretions.

The eustachian tubes can become blocked due to a respiratory infection or allergies, resulting in an accumulation of fluid in the middle ear. If this fluid becomes bacterially contaminated, infection may result.

Young children’s eustachian tubes are smaller and more horizontal than those of older children and adults. This implies that fluid is more likely to pool in the tubes instead of draining away, raising the risk of ear infection.

The role of adenoids

Adenoids are tissue pads found in the back of the nasal cavity. They respond to bacteria and viruses in the air and help the immune system function. The adenoids, on the other hand, can sometimes trap bacteria. The eustachian tubes and middle ear may get infected and inflamed as a result of this.

The adenoids are adjacent to the eustachian tube entrances and can cause the tubes to close if they expand. The adenoids in children are larger and more active than those in adults. Children are more likely to get ear infections as a result of these factors.

Symptoms

The signs and symptoms in adults are simple. Adults with ear infections suffer from ear pain and pressure, as well as ear fluid and hearing loss. Children are exposed to a broader spectrum of symptoms. These are some of them:

  • ear pain, especially when lying down
  • difficulty sleeping
  • difficulty hearing
  • fever
  • lack of appetite
  • headache
  • tugging or pulling at the ear
  • crying more than normal
  • loss of balance

Types

In general, there are three types of ear infections.

Acute otitis media (AOM)

The most common and least dangerous type of ear infection is AOM. The fluid beneath the eardrum gets infected and bloated, and the middle ear becomes infected and swollen. Fever is another possibility.

Otitis media with effusion (OME)

There may be some fluid behind the eardrum after an ear infection has cleared. Although a person with OME may not show symptoms, a doctor will be able to detect any lingering fluid.

Chronic otitis media with effusion (COME)

COME refers to fluid returning to the middle ear on a regular basis, whether or not an infection is present. This reduces your ability to fight other infections and has a detrimental influence on your hearing.

Diagnosis

Ear infection testing is a simple procedure, and a diagnosis can often be determined solely on the basis of symptoms.

To examine for fluid behind the eardrum, the doctor will usually use an otoscope, which is a light-attached tool.

A pneumatic otoscope is sometimes used by a doctor to check for infection. This device uses a puff of air to check for retained fluid in the ear. The eardrum will move less than normal if there is any fluid behind it.

If the doctor is unsure, he or she may perform further tests to confirm a middle ear infection.

Tympanometry

The doctor employs a device that shuts up the ear canal and changes the pressure inside it. The eardrum movement is measured by the instrument. This allows the doctor to determine the middle ear pressure.

Acoustic reflectometry

The eardrum is bouncing sound against the eardrum in this technique. The amount of sound that bounces back shows the level of fluid buildup. The bulk of sound is absorbed by a healthy ear, whereas an infected ear reflects more soundwaves.

Tympanocentesis

A clinician may employ tympanocentesis if an ear infection has not responded well to treatment. A small hole is made in the eardrum and a small amount of fluid is drained from the inner ear during this treatment. The infection’s cause can then be determined using this fluid.

Treatments

Antibiotic treatment is required for infants under the age of six months to help prevent the spread of infection. Amoxicillin is frequently used as an antibiotic.

Unless the kid shows signs of a severe infection, doctors usually recommend monitoring the child without antibiotics for children aged 6 months to 2 years.

Ear infections usually go away on their own, and the only prescription required is pain relief. Antibiotics are only used in circumstances that are more serious or last longer.

The American Academy of Family Physicians (AAFP) advises patients to be on the lookout for:

  • children aged 6 to 23 months who have experienced mild inner ear pain in one ear for less than 48 hours and a temperature of less than 102.2° Fahrenheit (39° Celsius)
  • children aged 24 months and over with mild inner ear pain in one or both ears for less than 48 hours and a temperature of less than 102.2°F

Antibiotics are rarely recommended for children above the age of two. Antibiotic resistance develops as a result of overuse. Serious infections may become more difficult to treat as a result of this.

For persistent infections, the AAFP recommends acetaminophen, ibuprofen, or eardrops as pain relievers. These are useful for reducing fever and pain.

A warm compress, such as a towel, can help to relieve the pain in the affected ear.

If you have recurrent ear infections for several months or a year, your doctor may recommend a myringotomy. A surgeon creates a small cut in the eardrum to allow the build-up of fluid to be released.

To help air out the middle ear and prevent future fluid buildup, a very small myringotomy tube is implanted. These tubes are typically left in place for 6 to 12 months before falling out naturally rather than requiring manual removal.

Prevention

  • Ear infections are very frequent, particularly among children. This is linked to a developing immune system and variations in ear architecture. There is no surefire way to avoid infection, however there are a few things you can do to lower your chances:
  • Ear infections are less common in children who have been vaccinated. Inquire with your doctor about immunizations for meningitis, pneumococcal disease, and the flu.
  • Wash your hands, as well as your child’s, frequently. This can help your child avoid having colds and flu by preventing bacteria from spreading to them.
  • Second-hand smoking should never be exposed to a child. Ear infections are more common in infants who spend time with people who smoke.
  • If at all possible, breastfeed infants. This aids in the improvement of their resistance.
  • Feeding a newborn from a bottle while sitting up reduces the risk of milk going into the middle ear. When a baby is lying down, do not allow them to sip on a bottle.
  • Allow your child to play with ill children as little as possible, and limit their exposure to group care or big groups of children.
  • Antibiotics should only be used when needed. Ear infections are more common in children who have had an ear infection in the last three months, especially if antibiotics were used to treat it.

Ear infections are a common occurrence in most children’s lives. They can be unpleasant and debilitating, but if appropriately handled, they pose very few long-term issues.

Sources:

  • http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001480.pub4/abstract
  • http://www.aafp.org/afp/2013/1001/p435.html
  • http://cmr.asm.org/content/16/2/230.full
  • https://www.medicalnewstoday.com/articles/167409
  • http://www.aafp.org/patient-care/clinical-recommendations/all/otitis-media.html
  • https://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/pdfs/fs_smoking_youth_508.pdf
  • https://jamanetwork.com/journals/jama/fullarticle/211068
  • http://www.ncbi.nlm.nih.gov/pubmed/25156728

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