Pediatric Pearls

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Ear infections are the most commonly diagnosed childhood disease. The majority of children have at least one ear infection by 2 years of age. Recurrent or chronic ear infections can have associated challenges in hearing and language development. Some predisposing factors that may contribute to ear infections include environmental smoke exposure, child-care attendance and limited breastfeeding. Some known risk factors for ear infections include allergies, head and face abnormalities, genetic diseases and immunodeficiency states.

Symptoms of an ear infection may begin with cold like symptoms that then become more focused on the ear which include fever, fussiness, disrupted sleep and/or ear pain. These symptoms may begin suddenly.

Treatment for ear infections may not always include an antibiotic. Many physicians may observe for 48 hours for a child who is older than one year of age. Studies have shown that in many cases an antibiotic may decrease symptoms by average of one day. More physicians are giving a “Safety Net Antibiotic Prescription” to be started if symptoms persist past 48 hours. Antibiotics are not always the answer; discuss the “SNAP” concept with your child’s physician. Please also keep in mind that ear infections can have complications such as perforation, partial hearing loss and mastoiditis. Again, emphasizing the importance of having a good open line of communication with your child’s physician.

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