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Otitis Media: Prevention

 
Medical Encyclopedia: Otitis Media: Prevention

Although otitis media seems somewhat inevitable in childhood, some measures can be taken to decrease the chance of repeated infections and fluid accumulation. Breastfeeding provides some protection against URIs, which in turn protects against the development of otitis media. If a child is bottle-fed, parents should be advised to feed him or her upright, rather than allowing the baby to lie down with the bottle. General good hygiene practices (especially handwashing) help to decrease the number of upper respiratory infections in a household or daycare center.

After a child has completed treatment for otitis media, a return visit to the practitioner should be scheduled. This visit should occur after the antibiotic has been completed, and allows the practitioner to evaluate the patient for the persistent presence of fluid within the middle ear. In children who have a problem with recurrent otitis media, a small daily dose of an antibiotic may prevent repeated full attacks of otitis media. In children who have persistent fluid, a procedure to place tiny tubes within the eardrum may help equalize pressure between the middle ear and the outside, thus preventing further fluid accumulation.

— Rosalyn Carson-DeWitt, MD



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