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Types of infantile otitis

Types of infantile otitis


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Ear infections cause irritability and pain, sometimes severe. When they happen, the child usually wakes up several times during the night with a persistent cry. Treating these infections correctly is key to preventing them from recurring continuously.

When the child complains about the ear, it is best to consult with his pediatrician so that he can distinguish the type of otitis that the child presents and start the appropriate treatment.

It is the infection of the middle ear. It is usually accompanied by pain or discharge, and often by fever or redness of the eardrum. It is called otitis media because the inflammation occurs in the middle ear, between the eardrum and the Eustachian tube.

This type of otitis is very common in children. It is the first cause for the prescription of antibiotics because most are caused by bacteria in childhood and because the risk of acute otitis media lies in its sequelae, since the most frequent are recurrences and serous otitis media. It is estimated that approximately 5 percent of children are 'predisposed' to develop acute recurrent otitis media and that up to a third of children with acute otitis media will suffer a new episode in a month.

Bacteria such as Pneumococcus, Haemophilus, Moraxella Catarrhalis, Streptococcus and Staphylococcus aureus are the most frequent causes. They generally originate from the nasopharynx and ascend through the Eustachian tube to the middle ear. A recent study has revealed that in children who tend to suffer from recurrent otitis, 75 percent of the recurrences were caused by new bacterial strains, while the remaining 25 percent were due to the same bacterial strain (reinfections) or were due to to non-compliance with the treatment. Other times, infections of the upper respiratory tract, caused by influenza and parainfluenza viruses, are often complicated by acute otitis media, due to the inflammatory process.

It is characterized by the accumulation of mucus in the middle ear, between the eardrum and the Eustachian tubes. At first, there is no infection, no fever, and no pain, just fluid buildup, making it difficult for the child to hear. If that fluid cannot be drained, it becomes a breeding ground for germs and leads to one otitis after another, generating what is known as recurrent otitis.

Why is it produced?
When the Eustachian tube becomes partially blocked, fluid builds up in the middle ear. Bacteria that are already inside the ear get trapped and begin to multiply. This can lead to an ear infection. Exudative or secretory otitis media is very common in winter or early spring, but can occur at any time of the year. It occurs most often in children younger than 2 years old and is rare in newborns. Young children get this type of otitis more often than older children because the tube is shorter, horizontal and straight, which makes it easier for bacteria to enter. Also, its tube is more flexible and has a smaller opening, which is easy to block.

It usually goes away on its own in weeks or months. Most children do not have long-term damage to their ability to hear or speak, even when the fluid remains in their ears for many months.

It consists of the inflammation that lines the outer ear canal and is colloquially known as 'swimmer's ear'. The infection is usually located in the external auditory canal, which is the tube that carries sounds from outside the body to the eardrum. It mainly affects children who spend a lot of time in the water. When there is too much moisture in the ear, the skin that lines the inside of the ear canal can become irritated and injured, allowing bacteria or fungi to grow. In temperate climates, external otitis is common during the summer months, when children bathe in the sea or in the pool. But you don't have to swim to get otitis externa. Having eczema or excessively dry skin, scratching the ear canal, cleaning the ears too vigorously with cotton swabs, or sticking sharp objects, such as buckles or hair pins, all increase the risk of developing otitis externa. And is that anything that injures the skin that lines the inside of the ear canal can cause this type of infection.

How to detect it?
The main symptom of external otitis is ear pain, which can be severe and worse when the lobe or the outside of the external ear is touched or moved. Sometimes chewing also hurts, and the pain may be preceded by itching. 'External otitis is not contagious and does not usually present with fever.

How to prevent external otitis?
Using earplugs to cover the ear during swimming and, that does not enter water, is one of the most effective measures. To prevent children from injuring their ears, avoid cleaning themselves and putting objects in their ears, not even cotton buds. External otitis usually heals within seven to 10 days of starting treatment with antibiotic drops or corticosteroids, as appropriate.

Marisol New. Editor of our site

You can read more articles similar to Types of infantile otitis, in the category of Childhood Diseases on site.


Video: Ear Infection in Babies: Causes, Symptoms u0026 Treatment (May 2022).