Antibiotics are often prescribed for acute otitis media. Doctors and parents to consider carefully before treating ear infections with antibiotics. The proof is in the course of more ear infections and antibiotics to manage their own efforts, has shown little or nothing to speed the process. And misuse of antibiotics, bacterial strains resistant to antibiotics.
Ear infections are divided into two broad categories: acute otitis media (AOM) and secretory otitis media (otitis media with effusion (OME)) Split. Children with OME of filling fluid in the middle ear. Children with AOM and the fluid of the middle ear into the ear. Let the redness of the eardrum and clearly marked swelling of the eardrum, often with fever. These two conditions require different treatment.
Antibiotics are in most cases of ear infections caused by bacteria, effectively. However, to kill only 1 in 5 children with ear infections, antibiotics, an ear infection. In 4 of 5 children, ear infections clear on their own initiative. In many countries other than the United States, antibiotics are prescribed for ear infections less frequent.
Cefuroxime axetil is a semi second generation cephalosporins.
Cefuroxime axetil is considered a second choice of antibiotics for the treatment of otitis media with amoxicillin or amoxicillin / clavulanic acid are ineffective or can not be used.
The results of controlled clinical trials in children aged 3 months to 12 years with AOM, only 10 days of cefuroxime axetil orally is as effective or more effective than 10 days, oral amoxicillin or amoxicillin oral cefaclor oral / potassium clavulanate. According to published studies, all clinical response rate to a 10-day cefuroxime axetil orally in pediatric patients with AOM by 62-94%.
Research shows that short courses of cefuroxime axetil (5-diet days) in the treatment of acute otitis media is effective. In a randomized study in children 3 months to 12 years with an ear infection, cure or presumed cure in 92% of which 5-day cefuroxime axetil, 84% of those with a 10 – day course been reached or cefuroxime or 95% of those who received a course of 10 days of amoxicillin / clavulanate.
Some doctors caution in the short term plans of antibiotics (eg 5 days or less) and not to treat ear infections in children under 2 years old or people with underlying disease, otitis average recurrent or persistent or perforated tympanic membrane mobility and spontaneous purulent discharge.