it is also best known as terramycin
products containing oxytetracycline:
oxytetracycline anhydrous, oxytetracycline hcl
it is also known as:
|trade name||generic name|
|poxytrin eye ointment||oxytetracycline with polymyxin b sulphate eye ointment|
|terramycin ophthalmic ointment||oxytetracycline with polymyxin b sulphate eye ointment|
|geomycin 1% ophthalmic ointment||oxytetracycline with polymyxin b sulphate eye ointment|
|polytet eye ointment||oxytetracycline with polymyxin b sulphate eye ointment|
recurrent ear infections
My nine-month-old son has had a recurrent ear infection for over two months. He is currently on six different antibiotics. I believe it may be time to consider tubes. Should we wait until the baby is older before we get more aggressive, or is their some alternative we might want to consider? My son is healthy otherwise and seems to have mild symptoms for the most part. He has had a fever, crankiness and been lethargic on two occasions during this two-month period.
Middle ear infections, (acute otitis media), are common in young children and typically follow an upper respiratory infection. The majority of ear infections occur in children 6-36 months of age. In fact, two-thirds of children will have an ear infection by the age of one year. By the age of three years, 80% have had an ear infection and nearly 50% have had three infections or more. Children born with cleft palate or other malformations of the head and face have more infections because of structural differences in their ears. Boys have more infections than girls and a family tendency to ear infections may exist. The explanations for both phenomena are not known. Lying flat with a bottle, day care attendance (because of exposure to more respiratory infections), allergies and exposure to environmental tobacco smoke all increase the risk of ear infection. On the positive side, breastfeeding appears to be protective.
The majority of ear infections are caused by bacteria, hence the need for treatment with antibiotics. No child requires three antibiotics at one time, but in some cases, the first course of antibiotics is ineffective in resolving the infection. The child's pediatrician should recheck the ear after a 2-3 week period to make sure that the infection has been cured.
Once the acute infection resolves, the majority of children will have a fluid collection (effusion) in the middle ear. The fluid resolves spontaneously in 90% of children over a period of three months. Children in whom fluid persists beyond that period are at risk for hearing loss and speech/language delays because the fluid interferes with normal hearing. Tympanostomy tubes (or myringotomy tubes) are recommended in such cases to allow fluid to drain from the middle ear and prevent the development of negative pressure in the middle ear.
The evidence for using prophylactic antibiotics to prevent ear infections or the placement of tympanostomy tubes in children who have frequent ear infections is far less clear. Some physicians subject children to multiple courses of antibiotics when in fact the child has middle ear fluid, but no acute infection. Careful attention to the examination of the ear drum by an experienced pediatrician would help determine if your child has middle ear fluid, (which, again, should resolve within three months) or a true infection. Also, pay attention to the things that you can do to reduce the risk of ear infection in your child: breastfeeding, no lying down with a bottle, no smoke exposure, and, if day care is a necessity, the fewer the children the better!