Use antibiotics Only when absolutely necessary may retain the use of antibiotics
The study found that 80% of 100 children will recover from an acute ear infection within days
(CNN)--offer children antibiotics for infections ear not with speed their recovery, while increased risk some side effects, according to a study published Tuesday in the Journal of American Medical.
The study found that 80 from 100 different healthy kids will recover from an infection acute ear within a few days if given medicinal products only to relieve pain or fevers. If all 100 published instead of antibiotics, 92 would have been better during the same period, said Dr. Tumaini Coker, the study's lead author.
"But I expect also three 6–10 children develop a rash and five to 10 in order to develop diarrhea," said Coker, a pediatrician at Mattel children's Hospital at the University of California-Los Angeles.
Coker noted that it was similar to the number could be expected to gain side effects from the antibiotic treatment, the increased number of children in the study who benefited from treatment with antibiotics.
"Clinicians and parents should be aware of the benefits and adverse reactions about how to manage their child's ear infection," said Coker.
The study was designed to review existing research on the topic for the American Academy of Pediatrics, which is in the process of revising the guidelines for treating uncomplicated acute otitis media--ear infections which cause pain and fever Pediatricians ' group. ' rights and the American Academy of family physicians offered from 2004 that "comment"--avoiding antibiotics--is an option to treat ear infections in otherwise healthy children aged between 2 and 12.
The three basic types of ear infections, acute otitis media can benefit from antibiotics because this is often caused by a bacteria.But this also could be caused by a virus, which will not respond to antibiotics.
Another type of ear infection, otitis media with effusion, causing a buildup of liquid in the middle ear. caused by a viral infection, for which antibiotics are ineffective but antibiotics usually work for the third kind, otitis externa or "swimmer's ear."
The policy of the Academy review guidelines every three to five years, according to Dr. Allan Lieberthal, a pediatrician at Kaiser Permanente in and around Los Angeles and Chairman of the Academy review guidelines.
Lieberthal said that, while not being able to say what will be the new guidelines, the results of this study, which summarizes much larger report on existing data, the user agent to new recommendations.
"We hope to be ended with the new guidelines from this spring," said Lieberthal.
The study found that it doesn't matter which antibiotic is used to treat infection ear when antibiotics are warranted. Found older types such as amoxicillin and newer and more expensive antibiotics. Coker said for a child weighing 44 pounds (20 kg), a period of seven days of cefdinir cost approximately $ 96, while at the same course of amoxicillin cost $ 34. cheaper drugs were prescribed in 49% of cases, according to the investigation told later Lieberthal. antibiotics generally produce more side effects because they are more complex.
Use antibiotics only when absolutely necessary could permit the continued use of antibiotics for future generations, because it contributes to antibiotic resistance, excessive use of drugs, doctors said.
This week, the Centers for disease control and prevention, has launched a campaign called "get Smart: know when antibiotics work."Educating parents about ear infections is one of the objectives of the campaign, said Porra Hicks, Medical Director of the campaign. Hicks said antibiotic resistance "represents a problem community" because whenever the bacteria get exposed to antibiotics, "put on a new coat of armor that reduces the effectiveness of antibiotics."
Hicks said it understands the parents want to feel better with their children, but you can always ask a doctor or pharmacist if there are alternatives to antibiotics.
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