Are you experiencing severe throbbing pain in the ear, which is accompanied by noise, hearing loss, fever? Such signs, as a rule, indicate an infection of the ear - otitis. Consider what antibiotics for otitis media in adults prescribed, as well as features of their use.
Otitis under the microscope
Most often, ear infections are the result of a cold or sore throat. Because of the head cold, viruses can penetrate into the middle ear, where fluid accumulates, thereby forming the ideal breeding ground for germs.
The internal fluid exerts pressure on the eardrum, which can lead to its perforation and cause severe pain. Pus or blood begins to flow from the affected ear. This may seem like an alarming symptom, but in fact the eardrum tearing relieves pain and usually heals within a few days.
Acute otitis media rarely causes serious complications. The most common consequences are serous otitis and recurrent ear infections. Under certain conditions, they can cause hearing loss. This disease in some cases can also hinder the development of speech in children. Very rarely, as a result of otitis, mastoiditis, meningitis, or facial nerve paralysis and cholesteatoma develop.
When are antibacterial drugs prescribed?
A modern approach to the treatment of ear infections recommends, before treating ear otitis in adults with antibiotics, to carefully monitor the development of events in the state of health. Such observations are usually carried out within 48-72 hours from the onset of the first signs of the disease. During this period, pain relievers can be used to relieve pain.
The use of antibiotics for the treatment of otitis in adults will be justified in the case of preservation or aggravation during the specified time of observation of a patient for such symptoms as:
- feeling of acute earache;
- high temperature (more than 39 ° C) despite taking antipyretic drugs;
- deterioration in general health;
- medical examination shows deterioration of the tympanic membrane.
Antibiotics for otitis media in adults are generally prescribed to reduce the risk of progression of inflammation to mastoiditis or meningitis. Antibiotics can also be prescribed for otitis in children younger than 6 months, but only under the supervision of a pediatrician.
Features of antibiotics for ear inflammation
When treating otitis media, antibiotics are usually taken orally in pill form. The entire course of therapy typically lasts from five to ten days, depending on the severity of the disease and the presence in the patient's history of cases of persistent or recurrent ear infections.
In case of recurrent acute otitis, prophylactic antibiotic treatment during the autumn-winter period may be recommended. And although this treatment can reduce the number of ear infections, it does not completely eliminate the risk of disease. This is due to the fact that taking antibiotics for a long period can lead to the development of resistance of some viruses to conventional antibacterial agents.
When treating antibacterial drugs, it is important to consider the following aspects:
- Excessive use of antibiotics or their incorrect use, for example, failure to comply with the prescribed dosage regimen, can lead to bacterial resistance to these drugs.
- Topical antibiotics used to treat the ear can ultimately destroy the normal ear canal bacterial flora. This increases the risk of fungal infection of the outer ear.
What antibiotic is indicated for otitis in adults? Most often, amoxicillin is prescribed to treat a bacterial infection of the middle ear. This is a semi-synthetic bactericidal drug with a wide spectrum. It is quickly absorbed by the intestines. It is not recommended to use it during pregnancy and people with hypersensitivity to penicillin due to the threat of an allergic reaction.
Local antibiotics are also used in the form of drops, which are injected directly into the auricle. However, their use is justified only in the case of otitis externa, because they do not pass through the eardrum. Drops are sometimes used to treat otitis media if a tympanostomy tube is installed in the ear, through which the medicine reaches the infected area.
For recurrent ear infections, more powerful antibiotics are prescribed, which are taken for at least a month. However, in the case of serous otitis media, long-term anti-bacterial therapy is not recommended.
Antibiotics for otitis in adults: names
In the treatment of otitis media associated with perforation of the eardrum, drugs for topical administration are prescribed:
- "Ofloxacin". For the treatment of acute external otitis, it is recommended to take 10 drops in the ear once a day for 7 days. With a sluggish course of the disease, it is necessary to maintain the same dose, but continue therapy for 14 days.
- "Supraks" - the third generation cephalosporin. This drug is presented in the form of drops. It is approved for use in children from 6 months.
Consider oral antibiotics for systemic use:
- Cefuroxime is a second-generation drug for cephalosporins. It can be taken orally at a dose of 250 mg twice a day for 10 days.
- "Azithromycin". This drug belongs to the class of macrolides. Dosage - 500 mg of the drug on the first day, and then 250 mg once a day for 5 days.
In recent years, otitis treatment has changed. Previously, antibiotics were prescribed systematically. Today, given the fact that ear infections are spontaneous in almost 80% of cases, it is recommended to wait 2 or 3 days before prescribing antibiotics if the symptoms are not serious.