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Most children older than 6 months of age who have acute otitis media do not benefit from treatment with antibiotics. If antibiotics are used, a narrow-spectrum antibiotic like amoxicillin is generally recommended, as broad-spectrum antibiotics may be associated with more adverse events.
A retrospective study of success rates in 96 adults and 130 children with otitis media treated with CO 2 laser myringotomy showed about a 50% cure rate at six months in both groups. [13] To date, there have been no published systematic reviews.
Antipyrine and benzocaine ear drops is a medication for the treatment of ear pain caused by otitis media. It combines antipyrine, an NSAID, and benzocaine, a local anaesthetic in order to treat ear pain, alongside hydroxyquinoline sulfate, an antiseptic and preservative.
Tympanostomy tubes should not be inserted in children who have only one episode of otitis media with effusion that lasts less than three months. [1] [7] [8] While tympanostomy tubes are commonly used in children, they are seldom used in adults. Options for use in adults include: Persistent eustachian tube dysfunction. [6]
Otitis media. Acute otitis media is an infection of the middle ear. More than 80% of children experience at least one episode of otitis media by age 3 years. [23] Acute otitis media is also most common in these first 3 years of life, though older children may also experience it. [19]
In a post-marketing surveillance evaluating safety in 2006 children with acute otitis media treated with cefditoren (median daily dose: 10.0 mg/kg with a median total treatment period of 7 days), the incidence of adverse reactions was 1.79%, without unexpected or serious adverse drug reactions reported.