Local therapy of acute otitis media in children

Acute otitis media (AOM), one of the most common infectious and inflammatory diseases in infants, toddlers young children, is defined as an inflammation middle ear, usually bacterial, often with earache, fever, possibly otorrhea. Almost all children suffer from media, 80–90% – at preschool age. The frequency acute a megapolis more than 4 000 cases per 100 population, however, given large proportion asymptomatic variants against background respiratory infections, insufficient equipment pediatricians otoscopes, registration almost exclusively by ENT doctors, may be significantly higher. clinical picture nonspecific. Ear pain otoscopy are decisive for diagnosis. severity correlates well scale visual assessment according to child’s facial expressions. aims treatment relieve using topical or systemic analgesics, decide together specialist on need antibiotic therapy, avoid not indicated prevent complications (tympanic membrane perforation, mastoiditis, meningitis). With unexpressed it advisable use symptomatic therapy drops. A complex compounds (lidocaine, phenazone) provides quick therapeutic effect. Topical anaesthetics block transmission signal receptor central nervous system through inhibition voltage-gated sodium channels. (analgesics, antipyretics, therapy) results improvement 60% patients within next 24 hours, 80% 3 days. For prophylaxis otitis, necessary do vaccination influenza pneumococcal exposure tobacco smoke, keep babies breastfeeding.