Purulent otitis media is an acute inflammatory process localized in the middle ear region, accompanied by the accumulation of purulent exudate in the tympanic cavity, a pronounced intoxication syndrome. In some cases, such a pathology can acquire a chronic, relapsing course. In severe situations, in the absence of timely medical care, this disease can lead to a number of serious complications, for example, to a secondary lesion of intracranial structures. Below we will talk about purulent otitis media in a child in terms of symptoms and treatment.
Clinical picture with purulent otitis media in children
In the acute course of purulent otitis media, the symptoms increase rapidly. First of all, there is intense pain in the ear. The pain syndrome has a shooting character, leads to anxiety, crying of the child. Against this background, small children often refuse to eat, press their sore ear.
Without fail, there is a general intoxication syndrome, represented by fever, weakness, chills, headache, and so on. Hearing loss is also noted.
In the future, with acute purulent otitis media, perforation (rupture) of the eardrum often occurs. In this case, there is a decrease in body temperature, a decrease in pain. However, purulent masses begin to stand out from the ear.
After the subsidence of acute inflammatory phenomena, scarring of the tympanic membrane occurs, hearing is gradually restored. On average, this disease in children lasts about two weeks.
In the chronic course of purulent otitis media, a persistent (non-overgrowing) perforation appears in the tympanic membrane. In this case, symptoms such as periodic or constant discharge of pus from the ear cavity, progressive hearing loss occur. During an exacerbation, pain syndrome, signs of intoxication join, suppuration intensifies.
Tactics of treatment of purulent otitis media in a child
The basis of the treatment of purulent otitis is antibacterial drugs, selected depending on the sensitivity of the pathogen. The most commonly used local forms of antibiotics — in the form of ear drops, but sometimes there is a need for systemic antibiotic therapy.
With such a disease, various groups of antibacterial agents, for example, cephalosporins, can be used. The drug of choice is cefdinir, the effectiveness of which in the treatment of acute purulent otitis media in children was proven by scientists from the Republican Scientific and Practical Center of Otolaryngology in a paper published in 2020.
In addition, the treatment plan is supplemented with ear drops containing anti-inflammatory components, local anesthetics, and antihistamines.
It should be noted that before using any medication, you should consult a specialist. Self-medication is strictly prohibited.
If the tympanic membrane does not rupture on its own, it is surgically pierced to ensure the outflow of pus.
After the acute inflammatory process subsides, various physiotherapeutic procedures are indicated, for example, UHF therapy.
Otolaryngology / Palchun V.T., Kryukov A.I. - 2001
Efficacy and safety study of cefdinir in the treatment of acute suppurative otitis media in children / Eremenko Yu.E. // medical news - 2020 - #9