When Is Treatment With Antibiotics Necessary For An Ear Infection
If your child is in a lot of pain, and the symptoms last more than a few days, your pediatrician will likely recommend a round of antibiotics. According to the AAFP, here are some of the circumstances where antibiotics are likely to be prescribed for an ear infection:
- Infants six months or younger.
- Babies ages six months to two years, who have moderate to severe ear pain.
- Children 2 years or older who have a fever of 102.2 or higher.
- Children with another condition that could make an infection harder to heal, including cleft palate, Down syndrome, immune disorders and cochlear implants.
Are Some Dogs More Susceptible To Inner Ear Infection
Dogs with long, heavy ears seem to be predisposed to chronic ear infections that can ultimately lead to otitis interna. Spaniel breeds, such as the Cocker Spaniel, and hound breeds, such as the Bloodhound and Basset Hound, are the most commonly affected breeds. Regardless of breed, any dog with a chronic ear infection that is difficult to control may develop otitis interna if the eardrum is damaged, as a damaged ear drum allows bacteria to migrate down into the inner ear.
“Dogs with long, heavy ears seem to be predisposed to chronic ear infections that ultimately lead to otitis interna.”
Excessively vigorous cleaning of an infected external ear canal can sometimes cause otitis interna. Some ear cleansers are irritating to the middle and inner ear and can cause signs of otitis interna if the eardrum is damaged and allows some of the solution to penetrate too deeply.
Can Clindamycin Be Used For Ear Infections
I heard about side effects.
Answer by jheremans
Clindamycin is acceptable and usually used for middle ear infections. Do not be paranoid about side effects because all antibiotics or any drug at that have their specific side effects. The worse is an allergic reaction to this drug. Once it happens stop the drug immediately and consult your physician for the right antibiotic.
Answer by slrdgw22
Penicillin and amoxicillin are generally the first choice in antibiotics to treat ear infections. However, many people experience sensitivities and allergies when using these antibiotics, so clindamycin may be substituted. As with all antibiotics, the most common side effect of clindamycin is diarrhea, caused by a sudden imbalance in the bacterias in your body from the antibiotics.
Answer by 2005fleet
Yes and no, clindamycin should be used as a last resort for an ear infection. If you can use another medication first you should try that first. The side affects can be nausea/vomiting, heatburn, and joint pain. If you get these side affects you should call you doctor immediately blister/rash/hives, yellowing of the skin or eyes, and decreased urination.
Read Also: Witch Hazel For Ear Infection
How Many Mg Of Clindamycin Should I Take For A Uti
Clindamycin is not typically prescribed for UTIs, therefore there is not a typical dose and you should not take Clindamycin for a UTI unless instructed by your doctor after lab testing to determine the type of bacteria causing your UTI.
The most common UTI medications are Bactrim and Macrobid which are 400/80mg and 100 mg, respectively.
You can get antibiotics for UTI medications by booking a virtual appointment with a top PlushCare doctor here.
Dosage For Injectable Clindamycin
The following table includes the dosages for injectable clindamycin in mg/kg per day and mg per day.
|Infants||Children and adolescents||People older than 16 years|
|1520 mg/kg per day in 3 or 4 equal doses||2040 mg/kg per dayin 3 or 4 equal doses||6001,200 mg per day in 2, 3, or 4 equal doses|
|for more severe infections:|
The form and dosage of clindamycin that a doctor prescribes will depend on the infection a person has.
Recommended Reading: Only One Hearing Aid Connected To Iphone
Is This The Correct Antibiotic
The good news is that most children with ear infections do get the right prescription. In a separate report in JAMA Internal Medicine, Dr. Adam Hersh of the University of Utah and colleagues found that 67 percent two-thirds of children with ear infections got the correct prescription. But only 37 percent of adults with sore throats and sinus infections did.
This study provides evidence of substantial overuse of nonfirst-line antibiotics.”
The teams used two big national surveys from 2010 and 2011, which they said were the latest available. We do not have reason to believe practice patterns have substantially changed, Hershs team wrote.
Medical experts have been complaining about the misuse of antibiotics for two decades, but the message still is not getting through, Hyun said.
Patients also need to get tough on themselves and their doctors. Ask: “Is an antibiotic really needed? Is this the correct antibiotic? he said.
The CDC says more than 2 million people are infected by drug-resistant germs each year, and 23,000 die of their infections
Which Antibiotic Is Best For An Ear Infection
Two classes of antibiotics are commonly used to treat an infection.
Aminoglycosides have been the main treatment for bacterial ear infections for decades. Two aminoglycosides used in ototopical preparations are:
Though both of the above are commonly used in the United States, only neomycin has FDA approval. Neomycin is effective for gram-positive bacteria but its effectiveness against gram-negative bacteria has declined over years, especially against Pseudomonas, the most common bacteria in ear infections.
Tobramycin is effective for Pseudomonas and other gram-negative bacteria.
Quinolones are the most recently introduced ototopical antibiotics. Most quinolone antibiotics in use are fluoroquinolones, which also contain an atom of fluorine. Fluoroquinolones are considered the best available treatment now for ear infections for two reasons:
- Broad spectrum of activity against both gram-positive and gram-negative bacteria
- Lack of ototoxicity
Following are some of the FDA-approved fluoroquinolone solutions for external ear infection from Staphylococcus aureus and Pseudomonas aeruginosa:
Also Check: How To Connect Phonak Hearing Aids To Iphone
Can You See Mites On Horses
Mange mites arent visible to the naked eye. They are found in the feathers, making the horse incredibly itchy and causing scabs to form. The mites live on the surface of the skin and feed on dead skin flakes. Sometimes the crusts they produce can move making it seem as if the horse has walking dandruff .
How Soon Will It Start Working
Once you start taking clindamycin, youll likely notice an improvement in your symptoms after a day or two. If your symptoms arent improving at all or seem to be getting worse after taking clindamycin for a few days, follow up with your healthcare provider.
Make sure you take the full course of antibiotics as prescribed by your doctor, even if you start to feel better before finishing them. Otherwise, you may not kill all of the bacteria, which can lead to recurring infections and antibiotic resistance.
Allergic reactions to clindamycin are rare. If you develop any kind of rash while taking clindamycin, contact your healthcare provider this may be a sign of a drug allergy.
In rare cases, its possible to have a potentially life-threatening reaction called anaphylaxis.
Symptoms typically appear within 30 minutes of taking a drug and can include:
- itchy hives and welts
- swollen throat, which can cause wheezing and trouble with breathing or swallowing
- chest tightness
- passing out
- feelings of doom
While the risk of having an anaphylactic reaction to clindamycin is low, its important to know how to recognize the signs. Anaphylaxis is a medical emergency that requires immediate treatment.
Taking clindamycin can cause a range of side effects, including:
- nausea or vomiting
- loss of appetite
Symptoms of C. diff to watch for include:
- watery diarrhea up to 15 times per day that may contain blood or pus
- severe abdominal pain
Don’t Miss: How To Pair Phonak Hearing Aids With Iphone
Whats The Difference Between Antibiotic Solutions And Suspensions
Solutions are liquids where the active ingredients are dissolved. Suspensions are liquids in which the particles are suspended, or scattered throughout the liquid, and not quite dissolved. Some medications are stable as a suspension but not as a solution.
The main difference between the two is how irritating they might be. Antibiotic solutions are generally more irritating than suspensions because solutions have a more acidic pH of 3-4, whereas suspensions have a less acidic pH of 5.
Solutions may also contain alcohol to help kill bacteria, but the alcohol can be extremely irritating when these solutions are applied.
Antibiotic Gel Might Be Better Option For Ear Infections
Parents know the frustration of trying to get that gunky pink antibiotic into a tot screaming from an ear infection. A one-time squirt of special ear drops one day might replace that ordeal.
It’s only been tried in animals so far chinchillas, to be exact. But researchers report Wednesday that an antibiotic gel coated the animals’ eardrums and slowly seeped inside to do its job for a week, clearing up an infection that usually requires a 10-day course of oral antibiotics.
“It’s always a full-contact martial art” to get youngsters to swallow today’s liquid antibiotic several times a day, said senior researcher Dr. Daniel Kohane of Boston Children’s Hospital and Harvard Medical School. A pediatrician and anesthesiologist, he studies novel ways to deliver drugs and says when he describes the experimental ear gel, “people with kids get this right away.”
Easier dosing is just one goal. And importantly, if the approach pans out when tested in children, it also could help prevent development of antibiotic-resistant infections. Too often, parents stop treatment once their youngster starts feeling better, allowing lingering bacteria to bounce back stronger.
Related: A Third of Antibiotic Prescriptions Are Just Wrong
Middle ear infections what doctors call otitis media prompt at least 12 million visits to the doctor each year, and they’re the most common reason for prescribing antibiotics to children.
Kohane hopes to begin initial human studies in about a year.
Also Check: How Do You Say Pretty In Sign Language
Getting The Most From Your Treatment
- Remember to keep any routine appointments with your doctor. This is so your progress can be monitored. If you are taking clindamycin for more than 10 days, your doctor will want you to have some blood tests to check that your kidneys and liver are working well.
- Some people develop thrush after taking a course of antibiotics. If you think you have thrush, speak with your doctor or pharmacist for advice.
- This antibiotic may stop the oral typhoid vaccine from working. If you are due to have any vaccinations, make sure the person treating you knows that you are taking this medicine.
How To Take Clindamycin
Use Clindamycin exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.
Clindamycin oral is taken by mouth. Clindamycin injection is injected into a muscle, or as an infusion into a vein. A healthcare provider will give your first dose and may teach you how to properly use the medication by yourself.
Take the capsule with a full glass of water to keep it from irritating your throat.
Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device .
You may need frequent medical tests during treatment.
If you need surgery, tell your surgeon you currently use clindamycin.
Use this medicine for the full prescribed length of time, even if your symptoms quickly improve. Skipping doses can increase your risk of infection that is resistant to medication. Clindamycin will not treat a viral infection such as the flu or a common cold.
Store at room temperature away from moisture and heat. Protect the injectable medicine from high heat.
Do not store the oral liquid in the refrigerator. Throw away any unused oral liquid after 2 weeks.
Use the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.
Recommended Reading: Hungry Sign Language Baby
Sore Throat Ear Or Sinus Infection You May Be Getting The Wrong Antibiotics
They think part of the problem is that patients ask for easy-to-remember names such as Z-Pack and the study found that azithromycin, the Zithromax drug that gives Z-Packs the name, is among the most commonly misused drugs.
Overall, only 52 percent of patients treated with antibiotics for sinus infections, middle ear infections and pharyngitis received the first-line treatments recommended by prescribing guidelines, Dr. David Hyun, an infectious disease specialist at the Pew Charitable Trusts, told NBC News.
This is on top of findings released earlier this year that show at least a third of people who get antibiotics dont even need them. Taken together, the two studies show a lot of bad prescribing of antibiotics, the researchers wrote in the full report published in the Journal of the American Medical Associations JAMA internal Medicine.
How Is Otitis Interna Treated
Otitis interna is a very serious condition. If your dog is unable to eat or drink normally due to nausea or disorientation, then hospitalization for intravenous fluid therapy is generally warranted. Nausea must be controlled and dehydration avoided. It may also be necessary to sedate or anesthetize your dog in order to adequately see the ear tissues, take samples for bacterial culture, and appropriately clean the ear.
Treatment of the underlying infection is very important, and your veterinarian will prescribe the appropriate medications. Medications will be administered directly in the ear and orally. Antibiotics will be used for a bacterial infection for 6-8 weeks minimum. If the infection is fungal in nature, an anti-fungal medication will be prescribed. Whatever medications are chosen, it is critical that they be given precisely as prescribed.
“If your dog has an altered balance, restrict his activity during treatment to prevent falling injuries.”
If your dog has an altered balance, restrict his activity during treatment to prevent falling injuries. These dogs should not have access to stairs as they may take a tumble. You may also need to hand feed your dog temporarily – reaching down into a dish may stimulate nausea.
Don’t Miss: What Is God In Sign Language
Antibiotics For Ear Infection
The latest guidelines from the American Academy of Pediatrics say that if a child is older than 2 and isnt running a fever of 102°F or higher or in extreme pain, you should wait at least 48 hours before starting antibiotics. Thats because most infections will resolve on their own, and antibiotics have side effects: They kill off the good bacteria in the body along with the bad and pave the way for Clostridium difficile, an intestinal infection that can cause severe diarrhea.
Frequent rounds of antibiotics also make your child more vulnerable to antibiotic-resistant infections such as MRSA. Plus, any infections caused by a virus wont be helped by antibiotics, since they dont touch viruses, says James Coticchia, M.D., a pediatric ENT with The Studer Family Childrens Hospital at Sacred Heart, in Pensacola, Florida.
RELATED: Babies and Antibiotics
All that said, most pediatric practices are flexible when it comes to the guidelines. Your child will typically need a prescription if the pediatrician spots major redness, pus, or bulging .
Otherwise, many doctors will offer parents a paper script to hold on to or tell them that they can call back in a couple of days for a prescription if the symptoms arent improving, says Ari Brown, M.D., a Parents advisor and author of Baby 411.
But if a kid is really miserable, I will treat with antibiotics right away.
Avoid Antibiotics In Pill Form For ‘swimmer’s Ear’
Instead, use antibacterial or antibiotic eardrops, experts advise
MONDAY, Feb. 3, 2014 — Anyone who’s ever contracted “swimmer’s ear” knows how painful the infection can be.
Now, updated expert guidelines stress that the condition is best managed by antibiotics or antibacterials given as eardrops rather than by antibiotics in pill form.
The panel at the American Academy of Otolaryngology — Head and Neck Surgery Foundation recommends that patients be treated with antibiotic eardrops, but only if necessary.
Swimmer’s ear “may cause intense pain. Eardrops offer prompt relief, but about one-third of cases are treated with oral antibiotics, which are ineffective and promote resistant bacteria,” Dr. Richard Rosenfeld, who helped draft the new advisory, said in a statement provided by the academy.
“The updated guideline expands upon prior guidance with new clinical trials, new systematic reviews and consumer participation, intended to optimize the diagnosis and treatment of this common disorder,” Rosenfeld said.
Swimmer’s ear, formally known as “acute otitis externa,” is an infection of the outer ear that generally occurs when water becomes trapped in the ear canal and bacteria multiply, the experts explain. The condition is very common and affects about one in every 123 Americans each year. Besides swimming, people can contract swimmer’s ear through trauma to the ear, stress, sweat and allergies.
Two experts welcomed the new guidelines.
Read Also: Connecting Phonak Hearing Aids To Iphone
Symptoms Of Otitis Media With Effusion
OME may have no symptoms at all. Some hearing loss may occur, but it is often fluctuating and hard to detect. The only sign to a parent that the condition exists may be when a child complains of “plugged up” hearing. Other symptoms can include loud talking, not responding to verbal commands, and turning up the television or radio.
Older children with OME may have difficulty targeting specific sounds in a noisy room. In such cases, some parents or teachers may attribute their behavior to lack of attention or even to an attention deficit disorder. Older children and adults may also notice a sense of fullness in the ear. OME is often diagnosed during a regular pediatric visit.