Why are pediatricians trying not to give kids antibiotics for ear infections?

Judgement call. Many a red ear drum is just a virus, or a reaction to having the tool in the canal to view it. It can also be just sterile fluid which is benign & can clear on its own. Pediatricians are not avoiding antibiotics when they see a puss level and believe it to be a bacterial infection. We are tired of finding hard to cure germs that arise from overuse of antibiotics when they are not needed.
Viral illness. is the most common cause of ear infections and viral otitis will resolve without antibiotics. In fact, antibiotics will do nothing to help them clear. All doctors are concerned about the effect of unnecessary antibiotics in the community as they encourage the development of resistant organisms leaving us unable to treat serious infections. Your child should not have any unnecessary antibiotics.

Related Questions

How do pediatricians determine if a kid has an ear infection?

Otoscope. We look into the ear canal with a light and see signs of infection.If in front of the ear drum we call it "otitis externa"; if behind the drum :"otitis media".Treatment varies. Read more...
OTOSCOPE. The otoscope is an instrument to actually see the ear. The ear drum(tympanic membrane) is translucent and when looking thru the otoscope you can see the fluid behind the ear drum. We can actually see the results of the infection. Read more...

Inner ear infection for over a week was giving ear drops no luck and now oral antibiotic taking it for 2 days not any better hearing 50% and ringing.

Give it time. The ear drops will not help an inner ear infection. The oral antibiotic sounds right, but I'd give it a couple more days before deciding that it is not working. If you are getting progressively worse, seek further evaluation. If it's the same or slightly better, wait it out! By day 5-6 of an appropriate antibiotic, you should start to see some improvement. Hang in there! Read more...

How does antibiotic resistance happen? I've been on numerous AB for repeated UTI as a child, And a few times for ear infections more recently.

Mutation and Change. Antibiotic resistance occurs because the bacteria find a way to survive. Through genetic mutation a few become tolerant to that type of antibiotic and survive. The bacteria evolve to continue there journey through DNA changes in their mitochondria or the cells energy center. They are programmed to do their thing and survive. That is why over use of antibiotics is so concerning. Read more...
Depends. Essentially using antibiotics frivously can cause bacteria to become immune to antibiotics - and hence they become less sensitive. Read more...
It's the germ not U. Your prior exposure to antibiotics does not make you resistant to antibiotics. Any effect they had is long gone as are the germs you had back then. Germs mutate just like animals or us. New strains emerge that figure out a way to ignore a specific antibiotic. You might encounter a germ where the 1st abx does not kill it & another is needed, but that is because they changed, not your body. Read more...
The strong survive. Antibiotics will kill most vulnerable bacteria. Some bacteria will survive by either activating genes or developing mutations that provide antibiotic resistance. Repeated exposure to antibiotics, especially in the short term, will increase the odds of antibiotic resistance being common in the natural bacteria in and on your body. Read more...

Child is on antibiotic, Amoxicillin 7.5ml BID. Has three days left and has started to run fevers again. Had an outer and middle ear infection. Why?

Fever on abx. Fever while on antibiotics can be something as simple as he has contracted a viral illness that is not responsive to antibiotics at all (not that uncommon a week after you have been in a germy doctor office) to something more serious like development of a resistant infection that is not responding to the Amoxicillin. You really need to make a follow-up visit with your doctor in the next day or two. Read more...

28 mnth old R ear infection, cough, no fever. Prescribed orciprenaline & cefprozil if infect'n persists (>36 hrs.) Concerned about giving antibiotic?

Confusing treatment. Some research centers suggest we hold abx for a few days because a fraction of ear infections are viral and self heal. I think I can tell the difference in viral/bacterial infections and treat or not based on my exam.I can see the confusion, but in my world the kid would get the abx and nothing else, the add on does little if anything. Read more...

Pediatritian said 2 yr old ear infection was all cleared up. When we got home I opted out of giving him last dose of azithro. Is that ok?

Probably. It is usually a better idea to finish all antibiotics prescribed for a course of treatment. Otherwise there is a higher chance or relapse or recurrence of infection. Missing the last dose or two often can be ok ..But certainly not always.. Nor is it recommended! Read more...
Not a good strategy. In this case it is likely ok, if indeed on the follow up examination the ear looked clear. However, guidelines and recommendations for length of antibiotic therapy are designed to maximize cure and minimize creating resistant organisms. In the future completing the antibiotic course is the safest approach, unless of course the medications are creating side effects, in which case, call the doctor. Read more...

My child keeps getting ear infections. Should she get tubes, eventhough my pediatrician wants to keep treating her with antibiotics?

Ear Infections/ Tube. Middle ear fluid can predispose to recurrent ear infection & hearing loss. Indications for placing ear tube are: persistent fluid in the middle ear (serous otitis media, som) not resolving after a 3-month period of clinical observation, persistent otitis media with effusion (ome) >= 3 mo, acute otitis media (aom) not responding to antibiotic treatment or complicated by mastoiditis, meningitis, etc. Read more...
May grow out of them. It is a guessing game sometimes when kids have ear infections. To tube or not? Increasing head size is the main solution but how long to wait? I go with 5 in a year or 1 that won't clear. As dr.Balogun stated the lengthy fluid retention can be as troublesome as repeated infections & > 90 days is my limit. You do have to put baby to sleep for the procedure so it is not done without some thought. Read more...
potentially. The newest guidelines for ear tubes say that a minimum of 3 ear infections in 6 months or 4 in a year, and fluid behind the ear drum when evaluated by an ENT are criteria for considering ear tubes. It still is a personal decision and you can help make an informed one by seeing an ENT to discuss. Read more...
Ears. The general rile is 4-5 ear infections in a 12 month period should likely be referred to an ear nose and throat specialist. Read more...

My 20 month old has an ear infection and complains of head pain. I took him to Rady Children's Hospital ER today and the pediatrician did not examine his head at all after diagnosing the ear infection. So my question is, is head pain normal when there is

Head pain . Or head ache, with ear infection can be a common symptom, but it seems that you are still concerned, the doctor who examined your child was comfortable with the diagnosis and probably didn't see any other sign that would make him/her concerned about your son's condition, at any rate, it's your right to be answered for whatever concerning your child's health, you can go again or see another doctor. Read more...