Second Nature Care Blog

Cure Ear Infections Without Antibiotics - Second Nature Care

[fa icon="calendar'] Apr 7, 2015 9:00:00 AM / by Dr. Isadora Guggenheim

We cure ear infections with ozone therapy at Second Nature Care.

Do you know what causes ear infections?  

Otitis media is the second most common disease of childhood, after upper respiratory infection. It is also the most common cause of childhood visits to a physician's office. Annually, nearly 20 million office visits are attributed to otitis media. Do you know how best to approach this incredibly common condition? Test your knowledge with this short quiz.

Which of the following bacterial pathogens most commonly causes recurrent otitis media?
Moraxella catarrhalis
Streptococcus pneumoniae
Nontypeable Haemophilus influenzae
Staphylococcus aureus

The most common bacterial pathogens in acute otitis media are S pneumoniae, nontypeable H influenzae, and M catarrhalis. These three organisms are responsible for more than 95% of all acute otitis media cases with a bacterial etiology. Older studies indicated that S pneumoniae was more common; however, with the introduction of pneumococcal vaccines, nontypeable H influenzae now appears to be the most prevalent pathogen.

Of these three organisms causing acute otitis media, S pneumoniae is the least likely to resolve spontaneously. Attention is therefore focused on S pneumoniae for selection of antimicrobial therapy.

Which of the following age groups represents the peak prevalence for otitis media?

Birth to 5 months
6-18 months
1-3 years
2-5 years

Peak prevalence of otitis media in both sexes occurs in children aged 6-18 months; this is attributable to the more horizontal anatomy of the eustachian tube at this age. Some studies show bimodal prevalence peaks; a second, lower peak occurs at age 4-5 years and corresponds with school entry.

Although otitis media can occur at any age, 80%-90% of cases occur in children younger than 6 years. Children who are diagnosed with acute otitis media during the first year of life are much more likely to develop recurrent otitis media and chronic otitis media with effusion than children in whom the first middle ear infection occurs after age 1 year.

Which of the following studies is the standard examination technique for patients with suspected otitis media?

Tympanometry
Acoustic reflectometry
Audiometry
Pneumatic otoscopy

Pneumatic otoscopy remains the standard examination technique for patients with suspected otitis media. When performed correctly, it is 90% sensitive and 80% specific for diagnosis of acute otitis media, and its findings are more accurate than those of myringotomy. However, accuracy of this examination takes experience; estimates suggest that a pediatrician needs approximately 5 years in practice before such accuracy is achieved. Tympanometry, acoustic reflectometry, and audiometry are important adjunctive techniques with which to evaluate patients with middle ear effusion.

According to the February 2013 guidelines from the American Academy of Pediatrics and the American Academy of Family Practice, which of the following is the antibiotic of choice in treating acute otitis media?

Cefaclor
Azithromycin
Trimethoprim/sulfamethoxazole
Amoxicillin
SECOND NATURE CARE CURES EAR INFECTIONS WITH OZONE THERAPY
According to our clinical findings at Second Nature we have treated several ear infections in adults and children using ozone therapy.  It's painless and we don't disturb your intestinal microbiome.
Which of the following is not an accepted risk factor for acute otitis media in children younger than 4 years?
Day care attendance
Exposure to tobacco smoke
Allergies
Pacifier use
The relation between allergies and otitis media remains unclear. In children younger than 4 years, the immune system is still developing, and allergies are unlikely to play a role in recurrent acute otitis media in this age group. Recognized risk factors include day care attendance, secondary exposure to tobacco smoke, pacifier use, bottle propping, and breastfeeding for less than 3 months (breastfeeding for 3 months or longer decreases risk).

I find that food allergies play a huge role in recurrent ear infections. Book your consult to discuss your child's recurrent ear infections and how we can work together to resolve the issue. 

 Russell W. Steele. Quiz: Do You Know How Best to Approach Otitis Media? Medscape. Mar 23, 2015.

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Topics: Child and Teen Health, Ozone and Prolozone therapies

Isadora Guggenheim, ND, FNP, RN, MS, CNS, LMT, owner of Second Nature Naturopathic Care, LLC
For all appointments: Tel: 845 358-8385 Fax: 845 358-2963 drguggenheim@msn.com