Acute Otitis Media is an acute inflammation of the middle ear due to pyogenic organisms.
It is usually secondary to upper respiratory tract infection spreading from nasopharynx.
It is common in infants and young children; and more frequent during winter and rainy periods.
The usual causative organisms are streptococcus pneumococcus and staphylococcus.
Symptoms and clinical features of acute otitis media
- Ear discharge
- In babies, irritability
- Clinically increasing inflammation and redness of the eardrum
- Later, perforation and pulsating
- Acute otitis externa
- Referred otalgia
Complications of acute otitis media
- Acute mastoiditis
- Facial nerve paralysis
- Brain abscesses
- Lateral sinus thrombosis
- Ear swab for culture and sensitivity – swab taken properly without contamination
- Full Blood Count
- Control infection
- Restore normal hearing
- Ear toilet and antiseptic dressings
- Myringotomy for persistent mucopurulent collection in middle ear with bulging eardrum
Adult: 500 mg-1 g orally every 8 hours for 5-7 days
Child: 40 mg/kg orally every 8 hours
Adult: 500 mg-1g orally every 4-6 hours (to a maximum of 4 g) for 5-7 days
- over 50 kg: same as adult dosing
- 6-12 years: 250-500 mg;
- 1-5 years: 125 – 250 mg;
- 3 months 1 year: 125-250 mg for 5 – 7days
C. Systemic decongestant
Adult: 60 mg orally every 4 – 6 hours (up to 4 times daily)
- 6-12years: 30mg (5mL of syrup) 3 times daily;
- 2-5years: 15mg, (2.5mL of syrup)
- Bed rest and adequate fluids
Notable adverse drug reactions, caution
- Many preparations of pseudoephedrine contain antihistamines and may cause drowsiness
- Avoid ear drops
- Good general health and clean airy
environment to reduce incidence of upper respiratory infections (colds).