Module 9 Part 2 Otitis Media – Children Acute Flashcards
Question
Answer
When are antibiotics more likely to be considered for acute otitis media in children?
Antibiotics are more likely to be considered in children less than 6 months old and in cases of severe illness with symptoms like severe ear pain, high fever, bilateral otitis media, bulging eardrum, or systemic signs.
What is Otitis Media with Effusion (OME), and how is it different from acute otitis media?
OME is the presence of fluid in the middle ear without signs or symptoms of acute ear infection. It differs from acute otitis media, which presents with acute onset, purulent middle ear effusion, and inflammation.
What are the recommendations for prophylaxis of recurrent otitis media?
Recommendations include breastfeeding for at least 6 months, avoiding supine bottle feeding, reducing pacifier use, and eliminating exposure to secondhand smoke. Antibiotic prophylaxis is generally not recommended due to the risk of antibiotic resistance.
How long is the typical duration of antibiotic therapy for uncomplicated otitis media in children?
Antibiotic therapy typically lasts for 5 days for children over 2 years with uncomplicated otitis media. Younger children or those with complications (e.g., perforated eardrum) may require a 10-day course.
When is a topical fluoroquinolone/steroid preparation suggested for treating uncomplicated acute otitis media?
It is suggested for cases of uncomplicated acute otitis media with a chronic tympanic membrane perforation or ventilation tubes, where the clinical presentation is a painless discharge.
What do CIPRODEX and OTIXAL contain, and in which pediatric patients is OTIXAL indicated?
CIPRODEX contains 3 mg ciprofloxacin and 1 mg dexamethasone per mL. OTIXAL contains 3 mg ciprofloxacin and 0.25 mg fluocinolone per mL and is indicated in pediatric patients with tympanostomy tubes (6 months and older).
