Depending on the duration of acute otitis media are talking about (up to 3 weeks)
subacute (from 3 weeks to 3 months), or chronic (over three months)
otitis. Also, distinguish purulent (if purulent
in the ear) and purulent otitis media.
Causes of otitis
Two factors are responsible for the development of the disease: impaired function
Eustachian tube and the presence of infection (virus and / or bacteria) average
ear. Auditory (Eustachian) tube serves to equalize the pressure
tympanic cavity and atmospheric. Due to the movement of the cilia,
located in the auditory tube, mucus moves in the direction from
the middle ear to the nasopharynx.
By the blockage of the auditory tube can lead
mucosal edema (allergic or due to infections of the upper
respiratory tract), foreign body, tumor or adenoids. As a result,
blockage of the auditory tube in the tympanic cavity develops negative
pressure. This leads to penetration of mucus and bacteria from the nasopharynx to
middle ear. Other causes of otitis factors include trauma,
immunoglobulin deficiency, and perhaps genetic
Manifestations of otitis
The classic symptoms of acute suppurative otitis media are acute
onset (within several hours), one-sided earache,
fever and a runny nose. In infants, symptoms of otitis media may be
anxiety, irritability, and stretching of the affected ear. Children
older may complain of a sore throat and feeling
congestion and pressure in the ear. Less frequently observed dizziness,
drowsiness, headache, loss of appetite, nausea, vomiting, diarrhea.
Approximately 70 - 80% of cases of otitis media infection precedes
upper respiratory tract.
Treatment for otitis
For the treatment of acute suppurative otitis media is used
antibiotics (amoxicillin, amoxiclav, cefaclor, cefixime, erythromycin
et al.) at doses of age.
Since in most cases
acute otitis media pathogen is not defined, the drugs of choice are
antibiotics act on microorganisms most likely to cause
disease. These preparations are listed above.
patients the drug of choice is amoxicillin tablets (for children -
syrup) which is effective against major pathogens
the relatively low incidence of adverse reactions (rash and diarrhea) and
It has a relatively small cost. In the presence of the patient
allergy to amoxicillin, erythromycin is recommended.
antibacterial therapy for acute otitis media is usually 10 days.
When unsatisfactory response to treatment can be carried out
additional course, but in most cases this is not
In addition to antibiotics in acute otitis prescribed allergy medications (suprastin, Claritin, tavegil).
The prognosis of otitis
adulthood. In rare cases, however, develop chronic
otitis. In adults, the disease is more difficult.
Intracranial (eg, meningitis) and extracranial (eg labyrinthitis
hearing loss or chronic) complications are rare.