Otitis media Flashcards
Define otitis media
infection involving middle ear space
what is it a commonly precedes otitis media -1
viral respiratory illness
comon age gorup for otitis media
peak incidnece betweeen 6 and 18 months
causes of otitis media 3
mostly repiratory viruses
most common bacteria strep pneumonia, haemophilus influenae
risk factors for otitis media
male
young age
preceding respiratory virus (exposure: day care attendance, orlder sibling)
family hsitory
symptoms and signs of otitis media 7
otalgia
bulging tympanic membrane
myringitis (erythema of tympanic membrane)
irritability
sleep disturbance
fever
decreased appetite
define acute otitis media
inflammation of the middle ear cleft with rapid onset and infectvei origin, assoicated with a middle ear effusion
types of acute otitis media 3
resistant - persistence beyond 3-5 days with ABx
persistent- persistence or recurrence within 6 days of finishing ABx
Recurrent >3 episodes within 6 months or 4-6 episodes within 12 months
investigations for otitis media 3
no initial tests
2nd line - pneumatic otoscopy, tympanometry
symptoms of otitits media WITH effusion
asymptomatic
fulness
popping sensation
decreased hearing or ringing on afffected side
management of otititis media 1
CONSERVATIVE
when would ABx be considered in acute otitis media
only if they fail to improve after 2-3 days of observation
and to all with irregular illness or high risk children
OR UNDER AGE OF 2
ABx in acute otitis media
amox 1st line
augmentin in beta-lactamase resistant
acute otitis media managemnt for reccurrent disease
adenoidectomy but evidence poor
what has caused less acute otitis media episodes
influenxa vaccine
