What are important guidelines to understand when choosing an
antibacterial agent for acute otitis media?

Acute otitis media (AOM) is an ear infection which occurs due to inflammation or infection of the area behind the eardrum known as middle ear.

There are few  important guidelines to understand when choosing an

antibacterial agent for Acute Otitis Media stated as below:

1) To identify any history of acute onset, evaluation of signs and symptoms of middle ear inflammation, and signs of middle ear effusion.

2 ) Assessment of pain to recommend any antibacterial agent.

3) Prescription of amoxicillin (antibacterial agent) for most children whose dose should be 80 to 90 mg/kg per day.

4) Selection of different initial antibiotic a temperature greater than or equal to 39 degree Celsius other than amoxicillin .

The important guidelines are:

Explanation:

Every ear infection is called otitis. It is called otitis media when it reaches the middle ear region, where the eardrum, the tympanic chamber, the small bones of the ear and the ear tube (or Eustachian tube) are located, and it connects with the nose.

Most of the time, the body can fight otitis media. Observation is recommended only in cases of (1) children aged 6 to 23 months with moderate ear pain for less than 48 hours and fever below 39 ℃ and (2) children aged 24 months with moderate pain in one or more both ears for less than 48 hours and fever below 39 ℃.

Symptoms may be eased with painkillers, but consult your pediatrician for children and adolescents, as some medications should not be given under certain conditions.

Antibiotics should be judicious to avoid bacterial resistance, but a specialist may recommend when severe pain or fever exceeds 39 ℃. Children under 6 months of age are often applying for antibiotics before the observation time, but only the specialist may indicate. Normally, in 2 or 3 days the fever subsides, but hearing may require more time to return to normal.

Although there are cases of observation, it is important to be aware of the evolution of the condition, because if the infection is not treated there may be a total loss of hearing.

When hearing loss does not regress, it is recommended to investigate for signs of retained secretion behind the middle ear. If present, it needs to be surgically removed through a small incision in the eardrum, as it may become the focus of other episodes of infection or impair hearing.