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Ear infections are a common medical concern among parents and their children. Below are some tips to help break the cycle and minimize the damage from painful, recurrent infections. Remember, there are exceptions to every rule and antibiotics can sometimes be needed. By using some of these tips you could find your child needs less antibiotics and has fewer ear infections.
Tips for Dealing with Ear Infections (& Other Recurrent Infections)Click on the tip below for detailed information:
A large study conducted in Holland showed no difference in outcome when children receiving antibiotics were compared to a placebo group. Antibiotics are not used nearly as much in Europe as in the United States. In fact, only 31 percent of general practitioners in Holland use antibiotics to treat ear infections.
By not treating immediately, you also allow your child's immune system to react and build up a defense against future infections. Although it can be difficult to wait, sometimes it's the most helpful course of action in the long run.
If milk and dairy elimination does not clear up the infections, get a complete food allergy workup for your child from an allergist or find out about our allergy testing.
Conditions caused by cold or flu do not respond at all to antibiotics, which kill bacteria. The cold or flu are viruses.
There are no adverse reactions between Nystatin and any other antibiotic because Nystatin is not absorbed into the bloodstream from the intestine.
If your doctor won't prescribe Nystatin, give your child one of the natural antifungal products such as garlic, caprylic acid, or grapefruit seed extract along with the antibiotic.
Acidophilus, often used as a natural antifungal, may not help while the antibiotics are being given since the antibiotics may kill the acidophilus as well. (Penicillin, chloramphenicol, erythromycin, tetracycline, oxacillin, Vancomycin, and ceftriaxone all will kill the acidophilus.)
After the antibiotics are completed, give your child supplements of Lactobacillus acidophilus for at least 30 days. You may want to consider giving acidophilus on a daily basis for intestinal health.
If your child has had frequent antibiotic prescriptions for ear infections or other problems, consider our organic acids test to evaluate current intestinal health and help you to decide the best course of action. Overuse of antibiotics can lead to yeast overgrowth, which is implicated in a variety of medical concerns.
Ear infections are often caused by one of three types of bacteria inhabiting the nose and throat: Streptococcus pneumoniae, Haemophilus influenza, and Moraxella catarrhalis. These bacteria account for 70 to 90 percent of all ear infections. Among these bacteria, the Streptococcus pneumoniae is most often the culprit in causing ear infections. There is a vaccine available for Streptococcus pneumoniae.
If you find out your child has a positive throat culture for Streptococcus pneumoniae, ask your pediatrician about getting vaccinated against this organism. The vaccine is termed the 23-type pneumococcal polysaccharide vaccine.
Although it's not always possible, it's a good idea to avoid preschool and daycare centers. As most parents realize, child care environments can be breeding grounds for germs.
Breast milk contains antibodies against the bacteria that cause ear infections and other infections. Children who are breast-fed are much less likely to get frequent infections during the first six months of life.
Echinacea, the cone flower, was used extensively by the Plains Indians of the United States to treat infections. Echinacea is a general immune system stimulant and will help decrease the incidence and severity of colds and flus as well as infections. Echinacea works best if it is given for 10 days and then discontinued for two weeks before started again. Echinacea treatment is even more effective if drops of garlic and mull oil are put in the ears at the same time. Three days of this therapy will clear up most ear infections.
Echinacea can be purchased at health food stores or ordered over the phone from Wild Oats (1-800-494-WILD).
In the past, millions of people received penicillin this way. Although it may be less comfortable for your child, the main benefit of an injection over oral medication is that the injection will not kill the beneficial bacteria in the intestinal tract and lead to an overgrowth of yeast and harmful bacteria like Clostridia. The antibiotic will reach the human cells in the intestine but will not reach the bacteria in the cavity inside the intestine.
Some children have an inborn weakness of the immune system called an immunodeficiency. The best person to consult about this is called a clinical immunologist, which is a physician (MD or DO) who specializes in these rare diseases. Usually these physicians are also part-time researchers and are associated with a medical school. Find out more about our Immondeficieny lab tests.
If your child has a significant immunodeficiency, ask your physician about the possibility of using antibody infusions (called IVIG or intravenous immunoglobulin) to help your child's immune system fight off new infections. Sudhir Gupta at the University of California at Irvine has obtained complete remissions of autism using IVIG therapy.
- Kontstantareas M and Homatidis S. "Ear infections in autistic and normal children." J Autism and Dev Dis 17:585, 1987.
- Roberts J, Burchinal M, and Campbell F. "Otitis media in early childhood and patterns of intellectual development and later academic performance." J Ped Psychol 19:347-367,1994.
- Hagerman R and Falkenstein A. "An association between recurrent otitis media in infancy and later hyperactivity." Clin Pediat 26:253-257, 1987.
- Teele D, Klein J, Rosner B, and The Greater Boston Study Group. "Otitis media with effusion during the first years of life and development of speech and language." Pediatrics 74:282-287, 1984.
- Silva P, Chalmers D, and Stewart I. "Some audiological, psychological, educational, and behavioral characteristics of children with bilateral otitis media with effusion: a longitudinal study." J Learning Disabilities 19:165-169, 1986.
- Sak R and Ruben R. "Effects of recurrent middle ear effusion in preschool years on language and learning." Developmental and Behavioral Pediatrics 3: 7-11,1982.
- Kennedy M and Volz P. "dissemination of yeasts after gastrointestinal inoculation in antibiotic-treated mice." Sabouradia 21:27-33, 1983.
- Danna P, Urban C, Bellin E, and Rahal J. " Role of Candida in pathogenesis of antibiotic associated diarrhea in elderly patients." Lancet 337: 511-14, 1991.
- Ostfeld E , Rubinstein E, Gazit E, Smetana Z. "Effect of systemic antibiotics on the microbial flora of the external ear canal in hospitalized children." Pediat 60: 364-66, 1977.
- Kinsman OS, Pitblado K. "Candida albicans gastrointestinal colonization and invasion in the mouse: effect of antibacterial dosing, antifungal therapy, and immunosuppression." Mycoses 32:664-74, 1989.
- Van der Waaij D. "Colonization resistance of the digestive tract--mechanism and clinical consequences." Nahrung 31:507-17, 1987.
- Samonis G and Dassiou M. "Antibiotics affecting gastrointestinal colonization of mice by yeasts." Chemotherapy 6: 50-2, 1994.
- Samonis G, Gikas A, and Toloudis P . "Prospective evaluation of the impact of broad-spectrum antibiotics on the yeast flora of the human gut." European Journal of Clinical Microbiology & Infectious Diseases 13:665-7, 1994.
- Samonis G, Gikas A, and Anaissie E. "Prospective evaluation of the impact of broad-spectrum antibiotics on gastrointestinal yeast colonization of humans." Antimicrobial Agents and Chemotherapy 37: 51-53, 1993.
- Barnett E and Klein JO "The problem of resistant bacteria for the management of acute otitis media." Pediatric Clinics of North America 42: 509-517, 1995.
- Stool SE et al. "Otitis media with effusion in young children." Clinical practice guideline. Number 12. AHCPR Publication No.94-0622. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, US Department of Health and Human Services. July 1994.
- Teele, D et al. "Epidemiology of otitis media during the first seven years of life in greater Boston: a prospective cohort study." J Infect Dis 160: 83-94, 1989. (Indicates more ear infections with formula versus breast feeding.)
- Williams E. "Breast feeding attitudes and knowledge of pediatricians-in-training." Amer J of Prev Med 11;26-33,1995.
- Luettig B et al. "Macrophage activation and induction of macrophage cytotoxicity by purified polysaccharide fractions from the plant Echinacea purpurea." Infection Immunity 46:845-849,1984.
- Roesler J et al. "Application of purified polysaccharides from cell cultures of the plant Echinacea purpurea to mice mediates protection against systemic infections with Listeria monocytogenes and Candida albicans. "
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