 |
|
|
|
January 13th, 2011
10:12 AM ET
Antibiotics speed up recovery from ear infections in young children, studies showGiving babies and toddlers antibiotics when doctors are certain they have ear infections can help speed up their recovery, supporting current treatment guidelines for children between the ages of 6 months and 23 months.
However, antibiotics do come with significant side effects including diarrhea, rashes, yeast infections and vomiting. Overuse of drugs also contributes to antibiotic resistance, so careful selection of who should take antibiotics is necessary according to 2 studies published Wednesday in the New England Journal of Medicine. According to one of the studies, ear infection, or acute otitis media, is the most frequently diagnosed illness in children in the United States, and most children with these ear infections are routinely given antibiotics. But just 2 months ago, a new study confirmed practice guidelines from 2004, which recommend that children older than 2 with a confirmed diagnosis of an acute ear infection do not need to be given antibiotics because the drugs do not significantly speed up recovery. The foundation for the "watchful waiting" treatment recommendation instead of taking drugs is based on this and previous studies that did not have very many children under age 2 in the clinical trials. This made concluding that the same treatment works in the youngest age group very difficult. These 2 new studies were designed to provide the research to fill the gap, and clarify treatment recommendations for babies and toddlers. The children in these latest trials had their ear infections confirmed by experts (otoscopists). Researchers found that the youngsters who received a placebo did not recover as quickly as those getting the amoxicillin-clavulanate, an antibiotic that has been shown to be effective for earaches. However the differences were not huge. In the United States study, 80% of the children on antibiotics felt better on the seventh day of treatment; 74% of the children taking a placebo also felt better on the seventh day. Dr. Jerome Klein, a pediatric infectious disease specialist from Boston University's Medical School, says in an accompanying editorial that these two studies resolve the controversy over giving antibiotics versus watchful waiting in kids with confirmed ear infections. "More young children with a certain diagnosis of acute otitis media recover more quickly when they are treated with an appropriate antimicrobial agent," Klein wrote. Dr. Richard Rosenfeld, who is a professor and chairman of otolaryngology at SUNY Downstate and Long Island College Hospital in Brooklyn, New York, has been charged with reviewing the 2004 American Academy of Pediatrics guidelines for treating ear infections. He, too, has been eagerly awaiting the results of these 2 studies. One of the strengths of both studies, Rosenfeld said, is that the researchers took the time to make a solid diagnosis. Only children who really had ear infections were included in the trials. But Rosenfeld doesn't see the results as black and white as Klein. "Medicine is about gray zones and balancing the risks and benefits," Rosenfeld says. "Parents and doctors need to understand what the benefits and what the downside of treatments are." "If you received a placebo and you have a 74% chance of having symptoms go away or improvement [of illness]" – compared with the 80% in the antibiotic group ... "as a parent, how impressed are you about a 6% difference?" In treatment outcomes for pain, there was no difference, he notes. In both studies, children taking the real drugs had more side effects. The study authors caution about the overuse of these drugs and the risk of antibiotic resistance. The Finnish noted that limiting use of antibiotics may reduce the development of drug-resistant bacteria and increase the chance the future use of antibiotic will be effective. Rosenfeld says it's never wrong to prescribe an antibiotic for a well-diagnosed ear infection. "If the child has high fever, severe ear pain, the child is really miserable, has a fever or draining from the ear or double ear infection and is under 2 years old, then prescribing antibiotic is probably the right thing to do." But waiting to take the antibiotic isn't a bad idea either. He says he frequently writes a prescription for parents but tells them to hold off from filling it for 3 days. If the child still has symptoms 3 days later, then they should get the antibiotic and start giving it to their child. If you do that, 2 out of 3 parents don't fill out the prescription." Which is why he says what to do is still not clear-cut. He also points out that if antibiotics don't relieve a child's pain, pain medications will. Rosenfeld believes these latest studies reinforce an important message: "It's an opportunity for a conversation with your pediatrician." Parents need to weigh the benefits of what antibiotics can do in terms of killing the bacteria (if the ear infection is caused by a bacteria and not a virus) and the side effects their child may have to endure, as well as the possibility that exposing bacteria to antimicrobials may make the drugs less effective in the future. soundoff (1,109 Responses)« Previous 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 Next »Post a comment
Next entry »Do vitamins help against type 2 diabetes?
« Previous entryThe power of smell in picking sex partners
|
  About this blog
Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.
 |
|
|
|
buy tadalafil https://elitadalafill.com/ 40 mg tadalafil
Great blog article. Want more.
https://tips-with-tricks.com/food/best-ways-to-store-garlic/
sildenafil 20 mg sale https://eunicesildenafilcitrate.com/ price sildenafil generic
Youre so cool! I dont suppose Ive learn something like this before. So nice to find someone with some original ideas on this subject. realy thank you for beginning this up. this website is one thing that's wanted on the internet, someone with just a little originality. useful job for bringing something new to the web!
https://t.me/nid700
It's a envious article. It's very incredible and different. Who will be you to write this specific special article?
http://www.atlasroleplay.com/forum/profile/limitjar93
A formidable share, I just given this onto a colleague who was doing a bit of analysis on this. And he actually bought me breakfast as a result of I found it for him.. smile. So let me reword that: Thnx for the deal with! However yeah Thnkx for spending the time to discuss this, I feel strongly about it and love studying more on this topic. If doable, as you develop into experience, would you mind updating your blog with extra details? It is extremely useful for me. Huge thumb up for this blog put up!
https://booklist1000.siteoly.com/
Im thankful for the article post.Really thank you! Want more.
https://tips-with-tricks.com/food/best-ways-to-store-garlic/
A football betting system will you this of way. You quickly learn what regarding leg power you have when practicing these. These types of a great exercise to wake up the CNS before testing also.
https://thuthuatvietnam.com/detail/mup-la-gi-102192.html
buy tadalafil https://elitadalafill.com/ generic tadalafil
can you buy sildenafil over the counter in uk https://eunicesildenafilcitrate.com/ sildenafil cost in canada
I’ll certainly digg it and individually recommend to my friends
Thanks for one's marvelous posting! I seriously enjoyed reading it, you happen to be a great author.I will be sure to bookmark your blog and will often come back sometime soon. I want to encourage continue your great writing, have a nice weekend!
http://www.google.cf/url?q=https://pf247.weebly.com
sildenafil prices canada https://eunicesildenafilcitrate.com/ sildenafil 100mg for sale uk
alprostadil injection site https://alprostadildrugs.com/ muse alprostadil suppository
But the unimaginative writers couldn’t be bothered to work out a plot consistent with the all the rest of the Star Trek collection.
https://www.pearltrees.com/lupelivigni89/item356766736
It's a jealous article. It's very remarkable and new. Who can be you to write this special article?
http://jfkdebate.com/forum/index.php?p=/profile/whorlradio01
buy sildenafil from canada cheap https://eunicesildenafilcitrate.com/ sildenafil soft tablets
Numerous specialists suggest that a diet plan highlighting plant foods is critical for protecting against diabetes. Various other foods that can help maintain your blood glucose level reduced and stop you from obtaining full-on diabetes mellitus consist of the following:
https://www.poetrynook.com/user/hiyano5931
tadalafil online https://elitadalafill.com/ generic tadalafil 40 mg
tadalafil 40 mg from india https://elitadalafill.com/ tadalafil pills
alprostadil pellet https://alprostadildrugs.com/ alprostadil nasal spray
Wow, fantastic blog layout! How lengthy have you been running a
blog for? you make running a blog glance easy. The total
glance of your web site is magnificent, let alone the content material!
Seriously. You aren't so good that will you're so good at the moment. Your help woke everyone up. Thank you really much.
https://weblib.lib.umt.edu/redirect/proxyselect.php?url=http://playmuscle0.unblog.fr/2021/01/16/understand-how-to-play-texas-holdem-on-home/
sildenafil generic cost https://eunicesildenafilcitrate.com/ cheapest sildenafil australia
I will right away grab your rss as I can not find your email subscription link or newsletter service. Do you have any? Please let me know in order that I could subscribe. Thanks.
http://iascoaching.net/5-best-tips-to-prepare-tnpsc-exam-at-home/
Mangalloy, also called manganese steel or Hadfield steel, is an alloy steel consisting of an average of around 13 manganese.
https://my.desktopnexus.com/z8jyijv194/
This website is really a walk-via for all of the information you wished about this and didn’t know who to ask. Glimpse here, and you’ll definitely uncover it.
http://cse.google.bf/url?q=https://favro.com/organization/9c95001d84d8a042b667b06c/5ce2065fbd5351af17462537
I’m amazed, I must say. Rarely do I come across a blog that’s both educative and entertaining, and let me tell you, you've hit the nail on the head. The issue is an issue that too few people are speaking intelligently about. I am very happy I stumbled across this during my hunt for something regarding this.
http://www.google.de
I used to be suggested this web site via my cousin. I'm no longer certain whether this
submit is written by means of him as nobody else understand
such particular about my difficulty. You're amazing!
Thanks!
I am tгuly dlighted to glance at this webpage posts ԝhich includes lots oof
helpful data, tһanks for providing tһｅse kinds of statistics.
This paragraph will assist the internet people for creating new
blog or even a blog from start to end.
Great web site you've got here.. It’s hard to find high-quality writing like yours these days. I really appreciate individuals like you! Take care!!
http://www.google.de
Pretty! This was a really wonderful post.
Thanks for providing these details.
You're hence amazing. Oh my Jesus. Lord bless you.
http://mediajx.com/story9550994/what-is-fan-tan
Exactly what a man of capacity! You have the capability to create great things that you can't find everywhere. to envy
http://www.hongkongchannel.com/home.php?mod=space&uid=461058
you could have an important blog right here! would you like to make some invite posts on my blog?
https://telegra.ph/Opportunities-for-Coaching-in-Change-Management-03-30
My developer is trying to convince me to move to .net from PHP. I have always disliked the idea because of the costs. But he's tryiong none the less. I've been using Movable-type on a number of websites for about a year and am worried about switching to another platform. I have heard great things about blogengine.net. Is there a way I can import all my wordpress content into it? Any kind of help would be really appreciated!
http://maxxedgarr.blogspot.com/
I think that is among the most significant info for me. And i'm happy studying your article. But wanna observation on few common things, The web site taste is ideal, the articles is actually great : D. Good job, cheers
https://wifiblockertipss.mystrikingly.com/blog/a-great-game-item-for-collecting
Cheers to you, I actually figured out something new. Appreciate you so much. My partner and i glimpse forward to working with you.
https://www.pcb.its.dot.gov/PageRedirect.aspx?redirectedurl=https://www.worshiptraining.com/members/baccarat0alleyamount59/activity/309838/
what is the brand name for the generic drug for viagra in canada https://canadaviagrastore.com/ best viagra pills 25 mg canada pharmarcy
It's very trouble-free to find out any matter on web as compared to books, as I found this piece of writing at this web site.
tadalafil 30 mg https://elitadalafill.com/ order tadalafil
Today, I went to the beachfront with my children. I found a sea shell and gave it to my 4 year old daughter and said "You can hear the ocean if you put this to your ear." She put the shell to her ear and screamed. There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is totally off topic but I had to tell someone!
https://www.vejaisso.com/rastreador-de-gps-e-bloqueador-de-gps-onde-comprar-e-como-funcionam/
Amazing. Guru. You're a guru. Give thanks to you.
http://120.116.38.11/dis/home.php?mod=space&uid=4788349
buy vardenafil over the counter online https://vegavardenafil.com/ vardenafil, dapoxetine)
vardenafil 10 mg https://vegavardenafil.com/ vardenafil 10 mg
Pretty nice post. I just stumbled upon your blog and wanted to say that I have really enjoyed surfing around your blog posts. In any case I’ll be subscribing to your rss feed and I hope you write again soon!
https://xembongdatructuyen.com.vn/top-5-phan-mem-xem-bong-da-tren-may-tinh/
John Chow is definitely my idol, i think that guy is extra-ordinary. he is really talented**
https://papaly.com/categories/share?id=a57f62a8fac3445fb9e692b51de35d49
You completed a few good points there. I did a search on the matter and found nearly all folks will go along with with your blog.
https://postheaven.net/tube-videos/h2-why-you-need-honey-in-apple-cider-vinegar-h2-hr-br-why-you-need-honey
how long do the effects of vardenafil last https://vegavardenafil.com/ vardenafil 20mg tablets