Otitis media (OM) remains to be a major health concern in Australia, with an inexcusably substantial disparity in the severity and incidence of otitis media, of all its forms, between Indigenous and non-Indigenous child populations. Specifically, children in Indigenous communities suffer from chronic suppurative otitis media at rates that far surpasses the 4% threshold that defines a massive public health concern (WHO, 1996). Currently, the first line of treatment for OM is the use of antibiotics, which is characteristically used to treat cases of acute otitis media (AOM), with or without perforation, and chronic suppurative otitis media (CSOM) (Morris & Leach, 2009). However, with rates of OM in high-risk Indigenous communities failing to decline, the effectiveness of antibiotic treatment has fallen under questioning. Many studies which have aimed to investigate the role of antibiotics as treatment in Australian Indigenous children with OM have yielded diverse conclusions regarding its efficacy. Therefore, the objective of this literature review is to determine the effectiveness of antibiotics as treatment in Australian Indigenous children with otitis media.
Literature Review
In Leach, Wood, Gadil, Stubbs and Morris’ (2008) study, an investigation was made concerning the effectiveness of topical ciprofloxin (CIP) drops in comparison to ototopical framycetin-gramicidin-dexamethasone (FGD) drops in Aboriginal children with CSOM which was recently treated. The participants
Otitis media, otherwise known as an ear infection, is a very common occurrence in children seven months up to fifteen years of age. Specifically, this type of ear infection is categorized as an inflammation of the middle ear, and subcategorized into either acute otitis or chronic otitis media. It begins with a bacterial or viral infection from the throat that spreads into the ear, causing a fluid backup in the middle part of the ear. “It is estimated that, by the time they reach two years of age, all the children in the United States currently under that age will have had a total of 9.3 million episodes of acute otitis media, and that approximately 17 percent of children have three or more episodes during a six-month period (Berman 1995).
American Academy of Pediatrics and American Academy of Family Physicians article regarding acute otitis media is a filtered resource. It is an appropriate source for nursing practice because; it establishes clinical guidelines to diagnose and manage AOM. It also establishes guidelines when to treat the signs and symptoms of AOM, watchful waiting, or to treat with an antibiotic. This article is classified as an evidence based guideline because, it reviews multiple research literatures in a systemic manner and provides
This evidence meets the criteria for a filtered source. It was sourced online from the Official Journal of the American Academy of Pediatrics and Family Physicians. Specialists from multi medical disciplines assembled to create an integrative systematic study and review of the current evidence- based literature available for the treatment and management of Acute Otitis Media (AOM). The conclusions and findings were utilized to devise guidelines and a practice protocol that recommended early diagnosis and makes
The article from the American Academy of Pediatrics (AAP) and American Academy of Family Physicians (AAFP) that addresses acute otitis media (AOM) is a filtered resource. This article is appropriate for use in nursing practice as it establishes diagnosis and management guidelines for the treatment of AOM. In addition the article recommends treatment options for the symptoms of AOM and addresses the concept of watchful waiting. The is an evidence based guideline as it provides recommendations for practice and was created a systematic review and best clinical research in clinical literature. The Block article, Causative Pathogens,
Antibiotics, composed of microorganisms such as streptomycin and penicillin, kill other infectious microorganisms in the human body. At one point, antibiotics were considered to have “basically wiped out infection in the United States”, but due to their overuse and evolutionary
The health of the Australian Indigenous Population is a significant domain in Australia that represents a myriad of issues that affects the integrity of Indigenous Australians as the traditional owners of the land. On the contrary, these issues challenge the validity of Australia as a nation committed to closing the gap between health outcomes of Indigenous Australians in comparison to non-Indigenous Australians.
Results from interviews with parents who have brought their children into the clinic for acute otitis media.
Otitis Externa is most often caused by Staphylococcus aureus and Pseudomonas aeruginosa. Acute otitis media can be caused by bacterial or viral pathogens. Some of the pathogens associated with acute otitis media (AOM) include, S. pneumoniae, H. influenza, M. catarrhalis, and Streptococcus pyogenes. The common cold or rhinosinusitis is likely caused by rhinoviruses, adenoviruses, coronaviruses, enteroviruses, influenza and parainfluenza viruses, and respiratory syncytial virus (Burns, Dunn, Brady, Starr, & Blosser, 2013). Acute bacterial rhinosinusitis (ABRS) is a result of the S. pneumoniae, H. influenza, M. catarrhalis and/or B-hemolytic streptococci bacterias. Sore throats or acute pharyngitis is 90 percent of the time caused by a viruse. Bacterial sore throats are often a result of the group A streptococci bacteria. According to Burns et al., 2013, Mycoplasma pneumoniae, Chlamydia pneumoniae, groups C and G streptococci, and Arcanobacterium hemolyticum can cause acute pharyngitis. Pathogens that typically cause infections of the tonsils include B-hemolytic streptococci, group D streptococcus, and S. pneumonia (Burns, et al., 2013). The pathogens involved in acute cervical adenitis include B-hemolytic strep, staphylococcus, B. heneslae, viruses, and atypical
Upper respiratory tract infections (URTI), including acute otitis media (AOM) are the most common cause of ambulatory physician visits and antimicrobial prescriptions in children1,2. The most common bacterial causes of URTI are Streptococcus pneumoniae and Haemophilus influenzae, though the majority of cases are caused by viral pathogens 3–10. Distinguishing between viral and bacterial URTI can be difficult. Reports on quality of antimicrobial prescriptions have shown a 30-50% of all out-patient prescriptions due to (upper) respiratory tract infections to be inappropriate2,10,11. In Europe the quality of prescription is higher in the north of the continent, including Iceland compared to in the south12. Conversely, many factors contribute to the overuse of antimicrobials2,13–15, which in turn results to increase in antimicrobial resistance16,17. Contributing factors cited by by physicians to cause over-prescription include uncertainty of diagnosis, fear of disease complications, lack of perception of harmful effects of antimicrobials, not perceiving their own prescription practices to be a problem, pressure by patients, limited time, fear of damaging doctor-patient relationship in addition to language, cultural and educational barriers2,13–15. Antimicrobials were long a mainstay treatment against AOM in fear of rare, but dangerous complications, which have later been found to be unfounded, asnd
The patient is an eight-year old girl who is taking hydrocortisone, neomycin, and polymyxin eardrops for the diagnosis of a bacterial ear infection. The dose is 10mg (1%)/3.5mg (0.35%)/10000 units/10ml and was instructed to take this medication every six to eight hours with three drops in the affected ear. The medication has multiple classes since this medication contains multiple drugs. Hydrocortisone is a corticosteroid medication that works to decrease inflammation within the ear. Neomycin and polymyxin are within the antibacterial class and work to combat infection. The combination of the drug helps to eliminate the bacteria within the ear; decrease pain, redness, and itching that were accompanying her bacterial
Summary: The article “Kids’ Drug- Resistant Bacteria Blamed on Farm Antibiotic Use” states that kid’s health is suffering from an antibiotic that is use in farm animals. Kids are infected by bacteria and treatment is difficult with the antibiotics that used in farm animals. If human get infected by this bacteria, antibiotics is not going to work while treatment because bacteria became more advance and that antibiotic is not going to work. Kids can expose to drug resistant bacteria in different way. Children can get infected by these bacteria by contact with animals which is infected by these bacteria and by eating food that is contaminated by bacteria. Most of the time people who get infected by these bacteria don’t get ill if they get ill
One of the most common abnormalities of the tympanic membrane is called Otitis Media, which is an inflammation of the middle ear. This frequently affects children (particularly those between three months to three years of age) and it is usually caused by a bacterial infection. Treatment is the use of Tylenol or Motrin for pain and with the recent emergence of resistant organisms, pediatric organizations have strongly recommended initial antibiotics only for children at highest risk or for those with recurrent infections. Antibiotics are given if worsening symptoms or no improvement within 72 hours (Miyamoto 2015).
Sinusitis is a common condition in the primary care setting. Sinusitis affects approximately 35 million people annually in the United States (Dobbs, 2009). Furthermore, this medical condition represents a significant burden on the nation’s healthcare system. The current guidelines by the American Academy of Otolaryngology recommend clinicians to prescribe analgesics, intranasal steroids, and nasal saline irritation as part of the initial evaluation and management of sinusitis. However, if symptoms do not improve within 7 days, clinicians should reevaluate the patient’s symptoms and consider antibiotic therapy (Pynnonen et al., 2015). Imaging is reserved for patients with suspected complications or to confirm the diagnosis of sinusitis when evaluating alternative conditions. Different imaging modalities may help in the evaluation and diagnosis of sinusitis including, radiographs, ultrasounds, computed tomography (CT), and magnetic resonance imaging (MRI).
In case of clearly established bacterial infection to otorhinolaryngological evaluation or in the event of persistence of fever with painful symptomatology after the first 72 hours the antibiotic is necessary. Generally they use broad-spectrum antibiotics properly administered daily dose and duration. In the event of repeated infections, and in close suspicion of insufficient efficacy, sensitivity testing provides information useful sull'antibiotico to which the beat is sensitive or sull'antibiotico more effective for therapeutic treatment.
Deafness is the most common serious outcome of CS and systemic corticosteroid therapy is warranted as soon as