Otitis is an otolaryngological disease that is associated with the course of the inflammatory process in various parts of the ear. There are external and middle otitis, both of which can be both chronic and acute.
Otitis - treatment with antibiotics
Bactericidal agents are applied topically (externally) and internally. The type of antibiotic therapy is prescribed depending on the type of otitis and the nature of the course of the disease.
What antibiotics to drink with chronic purulent otitis, and which ones to use externally?
The use of bactericidal preparations for chronic otitis is justified if the inflammatory process is in the acute stage and the purulent contents appear at the site of the disease localization.
Symptoms:
- gradual deterioration of hearing;
- increased body temperature;
- the appearance of ears of mucous consistence with purulent inclusions;
- pain in the ear;
- weakness;
- pallor.
Typically, antibiotics are used from the following list:
1. For oral administration:
- ampicillin (ampicillin trihydrate). Scheme: one capsule 4 r. in day 5 days;
- amoxicillin. Scheme: one capsule 3 r. a day for 10 days;
- spiramycin. Scheme: one capsule 2-3 r. in day 7 days;
- ciprofloxacin. Scheme: one capsule 2 r. a day is also 7 days;
- azithromycin: one capsule 1 p. a day, for three days;
- phenoxymethylpenicillin: three capsules per day for 5 days.
2. For injection:
- cefazolin - intramuscular injection, up to 4 r. per day, 5 days;
- Netilmicin - ear injection, 2 r. per day for 7 days.
3. For topical application (instillation in the ear), an alcohol solution of chloramphenicol is used.
What antibiotics should I take with acute otitis media, and which ones should be applied externally?
Acute catarrhal otitis media, in general, does not require antibiotic therapy. The appointment of such drugs is necessary only in extreme cases, when traditional treatment has not had positive results.
Symptoms:
- sharp pain in the ear;
- obstruction of the ear;
- a strong increase in body temperature;
- noise in the ear;
- headache;
- tooth pain.
Antibiotics are used:
- For oral administration, the same drugs are used as in the case of chronic purulent otitis media.
- For intramuscular injections, it is recommended to use cefazolin.
- For topical application:
- normax;
- norfloxacin;
- otofa;
- cipromed;
- fugentin;
- fuzafunzhin - spray.
Drops are used according to the instructions.
What antibiotics can I treat with external otitis media?
Usually, the use of local antifungal agents is sufficient to treat inflammatory processes on the skin of the external auditory canal. If the nature of the disease is protracted and accompanied by severe pain, it is justified to prescribe bactericidal preparations.
Symptoms:
- pain from touching the auricle;
- an earache;
- feeling of ear stiffness;
- increased lymph nodes;
- low hearing loss;
- purulent discharge from the auricle.
Antibiotics for external otitis:
1. For oral administration:
- nystatin: two capsules 4 r. in day 14 days;
- azithromycin: on the first day of treatment - two capsules per day, starting with the second - one capsule of 1 p. per day, only 5 days;
- Ampicillin: one capsule 3 r. per day for 5 days.
2. For topical use:
- ofloxacin;
- neomycin;
- sophrax;
- gramicidin - alcohol drops;
- Oxycort - ointment with hydroortisone and oxytetracycline.
Preparations for topical use are instilled and applied in accordance with the attached instructions.
Do not self-prescribe bactericidal drugs and antibiotic therapy. This can lead to a worsening of the general condition and provoke the development of superinfection.