Prevention,Prognosis and Epidemiology of Otitis Media

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    prevention,prog

    Presented by

    Syadzwina Syaufika

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    Prevention...

    The best way to prevent ear infections is to

    prevent colds and flu.

    Good Hygiene..

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    Good hygine Colds and flus are spreadprimarily when an infected person coughs or

    sneezes near someone else. A very common

    method for transmitting a cold is by shaking hands.

    Waterless hand cleaners that contain an alcohol-

    based gel are also effective for everyday use and

    may even kill cold viruses. (They are less effective,

    however, if extreme hygiene is required. In such

    cases, alcohol-based rinses are needed.)

    Antibacterial soaps add little protection, particularly

    against viruses.

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    Flu Vaccines. Flu vaccines produce an

    immune response that attacks the active virus.

    Vaccines are typically given by injection. Antibodiesto the influenza virus generally develop within 2

    weeks of vaccination, and immunity peaks within 4

    - 6 weeks, then gradually wanes.

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    Antiviral Drugs. Antiviral drugs are

    available to treat influenza. One such drug,

    oseltamivir (Tamiflu), is approved for use

    in children age 1 year and older. Studies

    report significant reduction in symptoms

    and in the incidence of ear infections with

    this drug.

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    Preventing BacterialInfections

    Antibiotics have been used to prevent

    bacterial infections in children with

    recurrent ear infections (4 or more

    episodes a year).

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    Pneumococcal Vaccine. Thepneumococcal conjugate vaccine (PCV) protects

    against S. pneumoniae (also called pneumococcal)

    bacteria in children, the most common cause of

    middle ear infections, pneumonia, and other

    respiratory infections. The recommended schedule

    of pneumococcal immunization is four doses, given

    at 2, 4, 6, and 12 - 15 months of age

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    Dietary Factors andSupplements

    Healthy Diet. Daily diets should include

    foods such as fresh, dark-colored fruits

    and vegetables, which are rich in

    antioxidants and other important food

    chemicals that help boost the immune

    system.

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    Prognosis...

    There has been some concern that ear

    infections in infants less than three months

    old may indicate more serious infections,

    such as meningitis.

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    Chronic otitis media usually responds to

    treatment, but your child may need tocontinue taking medicines for several

    months. Such ear infections are not life

    threatening but can be uncomfortable and

    may result in hearing loss and other

    serious complications.

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    With treatment, the prognosis foracute

    otitis media is very good. However, long-

    lasting accumulations of fluid within the

    middle ear are a risk both fordifficulties

    with hearing and speech.Furthermore,

    without treatment, otitis media can lead to

    an infection within the nearby mastoid

    bone, called mastoiditis.

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    Epidemiology...

    Race Until recently, prevalence of OM in

    the United States was reported to be

    higher in black and Hispanic children than

    in white children.

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    Sex Several more recent studies have

    shown equal AOM prevalence in malesand females; many previous studies had

    shown increased incidence in boys.

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    Age Peak prevalence of OM in both

    sexes occurs in children aged 6-18

    months.

    Some studies show bimodal prevalence

    peaks; a second, lower peak occurs at age

    4-5 years and corresponds with schoolentry.

    Although OM can occur at any age, 80-

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    Referensi...

    www.emedicine.com

    www.umm.edu

    www.medlineplus.com

    http://www.emedicine.com/http://www.umm.edu/http://www.medlineplus.com/http://www.medlineplus.com/http://www.umm.edu/http://www.emedicine.com/
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