Antibiotics Do Little for Inner Ear ...(taking antibiotics were 90 percent as li...),Health

Date:2/18/2008

taking antibiotics were 90 percent as likely to develop fluid buildup as children who weren't taking the medications. However, this difference was not statistically significant. "No difference in the development of effusion could be detected between the placebo and the antibiotics group," Rovers said.

"More research is, however, needed to identify relevant subgroups of children that have middle ear effusion that might benefit from other treatments," Rovers added.

One expert noted that doctors do not routinely prescribe antibiotics to prevent fluid buildup in ear infections.

"To the best of my knowledge, physicians generally don't prescribe antibiotics for acute otitis media in order to prevent middle-ear effusion; they prescribe them to bring about more prompt resolution of the infection and of its symptoms, especially pain," said Dr. Jack Paradise, a professor of pediatrics and otolaryngology at the University of Pittsburgh School of Medicine and a pediatrician at Children's Hospital of Pittsburgh.

The question of prescribing to prevent middle-ear effusion has become a non-issue over the past decade, Paradise said. "Asymptomatic middle-ear effusion is extraordinarily common and has been shown to be essentially harmless under ordinary circumstances," he said.

More information

For more about otitis media, visit the U.S. National Library of Medicine.

SOURCES: Maroeska M. Rovers, Ph.D., University Medical Center Utrecht, Julius Center for Health Sciences and Primary Care, Utrecht, The Netherlands; Jack Paradise, M.D., professor, pediatrics and otolaryngology, University of Pittsburgh School of Medicine, and pediatrician, Children's Hospital of Pittsburgh; February 2008, Archives of Otolaryngology-Head & Neck Surgery

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