Otitis media treatment duration

Otitis im Angebot - Gratis Versand in 24h ab 20

Clinical Pathway for Evaluation/Treatment ofAcute Otitis Media in Children 2 Months to 12 Years Old. May observe 48-72 hours if > 6 months and not severe. Ensure follow-up and provide analgesia Antibiotic prescription provided at discharge with instructions to start if symptoms worsen/persist over the next 48-72 hours. Infants > 3 months. The observation option for AOM refers to deferring antibacterial treatment of selected children for 48 to 72 hours and limiting management to symptomatic relief. The decision to observe or treat is based on the child's age, diagnostic certainty, and illness severity This review of diagnosis and treatment of otitis media is based, in part, on the Uni- given its longer duration of action and its lower toxic-ity in the event of overdose. 2 Treatment goals in acute otitis media include symptom resolution and reduction of recurrence. 20 Most children with acute otitis media (70 to 90 percent) have spontaneous resolution within seven to..

Acute Otitis Media Treatment Duration: Is There a Reason

ANMC Pediatric Acute Otitis Media (AOM) Treatment Guidelines Diagnosis Criteria Severe Symptoms Observation Criteria New onset of otorrhea (not related to AOE) Mild TM bulging and recent (less than 48 hrs) onset of ear pain Moderate to severe TM bulging Intense erythema of the TM PLUS Presence of middle ear effusio The traditional 10 days-treatment derives from the duration of treatment of streptococcal pharyngotonsillitis. 12 The 2013 AAP suggests 7 days in children 3 to 5 years of age with mild or moderate otitis. For children over 6 years with nonsevere otitis, 5 days of oral antibiotic treatment is also considered acceptable

INTRODUCTION — Acute otitis media (AOM) is primarily an infection of childhood and is the most common pediatric infection for which antibiotics are prescribed in the United States [].The vast majority of the medical literature focuses on the diagnosis, management, and complications of pediatric AOM, and much of our information of AOM in adults is extrapolated from studies in children This evidence-based clinical practice guideline is a revision of the 2004 acute otitis media (AOM) guideline from the American Academy of Pediatrics (AAP) and American Academy of Family Physicians. It provides recommendations to primary care clinicians for the management of children from 6 months through 12 years of age with uncomplicated AOM. In 2009, the AAP convened a committee composed of. Otitis Media Patient population: Pediatric patients (>2 months old) and adults . Objectives: Limit acute symptoms and suppurative complications caused by acute otitis media. (2) Maximize language development and minimize long term damage to middle ear structure associated with otitis media with effusion

Otitis Media: Diagnosis and Treatment - American Family

Ear Pain – Primary health care Nurse practitioner and

Otitis media is the most common childhood infection for which antibiotics are prescribed. Studies that purport to demonstrate equivalence of five-and 10-day duration Gooch WM, Blair E, Puopolo A, et al. Effectiveness of five days of therapy with cefuroxime axetil suspension for treatment of acute otitis media. Pediatr Infect Dis J. 1996. Traditionally, therapy is continued for 10-14 days; this is convenient for office scheduling, but it may not necessarily be more efficacious than 5 or even 2 days of therapy. Short-duration therapy..

Reducing the duration of antimicrobial treatment has been forwarded as a strategy for curtailing the rise of antibiotic resistance. For the study, 520 children aged 6 to 23 months with acute otitis media were randomly assigned to receive amoxicillin-clavulanate for either a standard duration of 10 days or for a reduced duration of 5 days. ; Estimated burden of acute otitis externa - United States, 2003--2007. MMWR Morb Mortal Wkly Rep. 2011 May 2060(19):605-9. Kujundzic M, Braut T, Manestar D, et al; Water related otitis externa. Coll Antropol. 2012 Sep36(3):893-7. Ho T, Vrabec JT, Yoo D, et al; Otomycosis: clinical features and treatment implications. Otolaryngol Head Neck Surg.

Acute Otitis Media: How Long Should You Treat

Be attentive to a runny nose and prevent otitis media Prevention and treatment. Relation of infant feeding practices, cigarette smoke exposure, and group child care to the onset and duration of otitis media with effusion in the first two years of life J. Pediatr, 123 (5): 702-11 DEFINITION. —. Acute otitis media (AOM) is an acute, suppurative infectious process marked by the presence of infected middle ear fluid and inflammation of the mucosa lining the middle ear space ( picture 1 ). The infection is most frequently precipitated by impaired function of the Eustachian tube, resulting in the retention and suppuration.

The duration of the second stage is from 1 to 12 months. The third stage is mucous, during this period the accumulated mucus becomes more dense and viscous. Impaired perception of sound is aggravated, a symptom of fluid transfusion may be absent. The duration of the stage is from 12 to 24 months Boggs W. Antimicrobial Treatment of Acute Otitis Media Shortens Duration of Middle Ear Effusion. Medscape. May 9 2014. . Tapiainen T, Kujala T, Renko M, et al. Effect of Antimicrobial Treatment of Acute Otitis Media on the Daily Disappearance of Middle Ear Effusion: A Placebo-Controlled Trial. JAMA Pediatr. 2014 May 5. Acute otitis media (AOM) continues to be a common infection in young children. Milder disease, usually due to viruses or less virulent bacteria, resolves equally quickly with or without antibiotics. A bulging tympanic membrane, especially if yellow or hemorrhagic, has a high sensitivity for AOM that is likely to be bacterial in origin and is a major diagnostic criterion for AOM Recurrent acute otitis media. No antibiotics within past month: Amoxicillin-clavulanate 875 mg/125 mg PO BID for 7-10d or. Cefdinir 300 mg PO BID for 7-10d or. Cefpodoxime 200 mg PO BID for 7-10d or. Cefprozil 500 mg PO BID for 10d or. Cefuroxime 500 mg PO BID for 7-10d or. Ceftriaxone 1 g/day IM for 3d Tapiainen T, Kujala T, Renko M, et al. Effect of Antimicrobial Treatment of Acute Otitis Media on the Daily Disappearance of Middle Ear Effusion: A Placebo-Controlled Trial. JAMA Pediatr . 2014 May 5

Middle-Ear Infection (Otitis Media) Guide: CausesPPT - OTITIS MEDIA (OM) PowerPoint Presentation, freeThe diagnosis and management of acute otitis media

Use: Treatment of mild to moderate acute otitis media caused by H influenza, M catarrhalis, or S pneumoniae. Usual Pediatric Dose for Legionella Pneumonia. 6 months and older: Immediate-release: 10 mg/kg (maximum: 500 mg/dose) orally on day 1, followed by 5 mg/kg (250 mg/dose) orally once a day on days 2 to 5 Extended-release enrollment could result in a string of patients with RSV otitis media being enrolled. If, by chance, the randomization string contained a concentrated assignment of patients to the 10-day arm, it might alter the study conclusions, since the duration of antibiotic treatment should have little effect on treatment failure for viral otitis media The recommended duration of antimicrobial therapy for acute otitis media in children has historically been 10 days. However, the recognition that shorter courses could significantly reduce antibiotic use and thus possibly reduce antibiotic resistance has led to several studies examining shorter courses The treatment of acute otitis media consists of analgesia, cleansing of the external auditory canal, and the application of antiseptic and antimicrobial agents. What is the correct duration of initial antibiotic treatment for culture-proven malignant external otitis? 3-5 days. 7-10 days. 1-2 weeks. 3-4 weeks. 4-6 weeks. Question 8

Acute Otitis Media Clinical Pathway — All Settings

Objective: To review and summarize recent advances in the treatment and prevention of otitis media (OM). Data sources: A MEDLINE search (1996-March 2000) was performed to identify relevant primary and review articles. References from these articles were also reviewed if deemed important. Study selection and data extraction: English-language primary and review articles focusing on the treatment. It is not the degree of hearing loss alone that is an issue, but the intrinsic nature of the conductive hearing loss associated with otitis media and middle ear effusion particularly when it occurs in early life. The hearing deficit is characterized as fluctuant; that is, existing only during the duration of the otitis media episode H:\QI\Clinical Practice Guidelines\2020\Completed\Otitis Media CPG.docx Page 1 of 4 Clinical Practice Guideline for the Management of Acute Otitis Media in Children 2 months - 12 years Diagnosis The clinical diagnosis of acute otitis media requires bulging of the tympanic membrane or other signs of acute inflammation and middle ear effusion key treatment protocols for otitis media/interna. Otitis mediaa—inflammation of the middle ear structures, occurs in dogs and cats of all ages and p resents unilaterally or bilaterally.1 Untreated otitis media can lead to otitis internaa—inflammation of the inner ear structures—or to rupture of an intact tympanic membrane with subsequent. Ear infections can occur suddenly and go away in a few days (acute otitis media) or come back often and for long periods of time (chronic middle ear infections). Otitis media with effusion: This is a condition that can follow acute otitis media. The symptoms of acute otitis media disappear. There is no active infection but the fluid remains

Diagnosis and Management of Acute Otitis Media American

  1. Duration of effusion after antibiotic treatment for acute otitis media: comparison of cefaclor and amoxicillin. Mandel EM, Bluestone CD, Rockette HE, Blatter MM, Reisinger KS, Wucher FP, Harper J. A double-blind randomized clinical trial was conducted at two sites comparing cefaclor and amoxicillin for the treatment of acute otitis media with.
  2. Usual Adult Dose for Otitis Media. 250 to 333 mg orally every 6 hours OR 500 mg orally every 12 hours-Maximum dose: 4 g per day-Duration of therapy: 7 to 14 days Use: Treatment of otitis media caused by susceptible Streptococcus pneumoniae, Haemophilus influenzae, Staphylococcus aureus, Streptococcus pyogenes, and Moraxella catarrhali
  3. The duration of treatment was shorter and the clinical response was higher in AE patients than in CSOM patients. The standard topical ofloxacin regimen for chronic otitis media should consist of a 2-week course from the aspect of bacteriologic efficacy, although patients showing insufficient symptom
  4. The term external otitis (also known as otitis externa or swimmer's ear) refers to inflammation of the external auditory canal or auricle. This topic will focus on the treatment of external otitis. The clinical manifestations and diagnosis of external otitis are discussed elsewhere. (See External otitis: Pathogenesis, clinical features, and.
  5. PEDIATRIC ACUTE OTITIS MEDIA JUNE 2019 ©2013-2019 INTERMOUNTAIN HEALTHCARE. ALL RIGHTS RESERVED. 3 (e) Otitis media with effusion (OME) vs. AOMAAP Consider the following when dealing with patients that present with OME but do not fit AOM criteria
  6. Most Otitis Media cases over age 2 years resolve without antibiotics. Alert patient families that child may have fever and Ear Pain for 48-72 hours despite antibiotics. However, return for Vomiting, high fever, Headache, pain over mastoid bone. III. Risk factors: Treatment Failure. Otitis Media within the last month

Importance: Antimicrobial treatment reduces the symptoms of acute otitis media (AOM). The effect of antimicrobial treatment on the duration of middle ear effusion (MEE) and concomitant hearing impairment is not known. Objective: To determine whether the antimicrobial treatment of AOM reduces the duration of MEE A bulging tympanic membrane which is typical in a case of acute otitis media. Symptoms typically include ear pain, fever. Acute onset (<48hr) AND. Middle ear effusion AND. Signs of middle ear inflammation. Middle Ear Effusion: bulging TM, impaired TM movement, otorrhea, or air/fluid level. Middle Ear inflammation: erythema of TM or otalgia

Background: Over-treatment of acute otitis media (AOM) with antibiotics is common, and poses a high burden on health-care systems. Methods: Records of children 6-36 months of age with AOM visiting a university-affiliated pediatric emergency department between 2014 and 2016 were reviewed for the treatment given: watchful waiting versus antibiotics We assigned 520 children, 6 to 23 months of age, with acute otitis media to receive amoxicillin-clavulanate either for a standard duration of 10 days or for a reduced duration of 5 days followed.

The recent American Academy of Pediatrics/American Academy of Family Physicians guidelines endorse 10 days of treatment duration as the standard for most acute otitis media (AOM) (Pediatrics 2013;131[3]:e964-99), but acknowledge that shorter treatment regimens may be as effective. Specifically, the guideline states: A 7-day course of oral. Use: Treatment of mild to moderate acute otitis media caused by H influenza, M catarrhalis, or S pneumoniae. Usual Pediatric Dose for Legionella Pneumonia. 6 months and older: Immediate-release: 10 mg/kg (maximum: 500 mg/dose) orally on day 1, followed by 5 mg/kg (250 mg/dose) orally once a day on days 2 to 5 Extended-release Acute Otitis Media (AOM) is a common problem in early childhood. 75% of children have at least one episode by school age. Peak age prevalence is 6-18 months. Causes of acute otitis media are often multifactorial. Exposure to cigarette smoke from household contacts is a known modifiable risk factor Chronic suppurative otitis media (CSOM) 1. Clinical features. 2. Treatment. Chronic bacterial infection of the middle ear with persistent purulent discharge through a perforated tympanic membrane. The principal causative organisms are Pseudomonas aeruginosa, Proteus sp, staphylococcus, other Gram negative and anaerobic bacteria There is some discrepancy in the suggested length of treatment for acute otitis media A 10-day course of antibiotics is generally recommended in children under 2 years old Editor's note: AAP Guidelines also note a 7-day course of antibiotics in children 2-5 years old with mild-moderate AOM ( Lieberthal et al, 2013

In children with acute otitis media (AOM), are short courses of antibiotic therapy as effective as long courses in achieving clinical resolution? Articles: Gulani, A., Sachdev, H., & Qazi, S. (2010). Efficacy of short course (<4 days) of antibiotics for treatment of acute otitis media in children: a systematic review of randomized controlled. Medical management of otitis media (OM) is actively debated in the medical literature, primarily because of a dramatic increase in acute OM (AOM) prevalence over the past 10 years caused by drug-resistant S pneumoniae (DRSP) and beta-lactamase-producing H influenzae or M catarrhalis.. Beta-lactamases are enzymes that hydrolyze amoxicillin and some, but not all, oral cephalosporins, leading. Inappropriate treatment of acute otitis media The mean treatment duration was 9 days but varied slightly by age: 9.1 ± 3.1 for those <2 years old, 8.7 ± 3.0 for those 2 to 5 years old, and 8.3 ± 3.5for those ≥6 years old. Of the 91 AOM episodes that met criteria for the wait-and-watch approach, it was only employed in 3 patients (3%. The optimal duration of therapy for patients with AOM is uncertain. The conventional 10-day course of therapy was derived from the duration of treatment of streptococcal pharyngotonsillitis. Several studies and the American Academy of Pediatrics (AAP) favor standard 10-day therapy over shorter courses for children younger than 2 years of age Introduction. Acute otitis media (AOM) is one of the most common infections in childhood1 2; approximately 60% of children have had at least one episode by 4 years of age.3 It is also one of the most frequently cited reasons for antibiotic prescription in children less than 3 years of age,4 5 accounting for 14% of all antibiotic prescriptions in children in the UK.6 While both bacterial and/or.

Otitis media - Atlas of pathophysiology, 2 Edition

Diagnosis and Treatment of Otitis Media - American Family

  1. Usual Pediatric Dose for Otitis Media. 3 months to 12 years:-Oral suspension: 15 mg/kg orally twice a day---Maximum dose: 1000 mg/day-Tablets: 250 mg orally every 12 hours Duration of therapy: 10 day
  2. Acute Otitis Media. Treatment of acute otitis media (AOM) in adults† and children caused by susceptible Streptococcus pneumoniae or Haemophilus influenzae when the clinician makes the judgment that the drug offers some advantage over use of a single anti-infective
  3. Serous otitis media (SOM), also known as otitis media with effusion (OME), fluid in the ear, middle ear effusion (MEE), or secretory otitis media, is a condition in which fluid resides in the middle ear. Serous refers to the type of fluid that is collecting inside the middle ear. Serous fluid is usually straw (yellowish) colored liquid or mucus
  4. Otitis media with effusion is most common between 7 and 10 years of age. OME is more prevalent in males. The most common complaint was hearing loss followed by earache. The patients of OME gave otoscopic finding as normal, congested, bulged or retracted TM. Frequency of retracted TM is comparatively more
Clinical efficacy of three common treatments in acute

Updated Guidelines for the Management of Acute Otitis

  1. Living With When should I see a specialist to treat swimmer's ear (otitis externa)? If your ear infection has not gone away 10 to 14 days after treatment with antibiotic eardrops, you have lost your hearing, you see pus or other yellow/green matter oozing from your ear, or experience a worsening of any of the symptoms of swimmer's ear, you should be seen by an ear specialist (an otolaryngologist)
  2. ute, prescribe 15 mg/kg twice daily (maximum 500 mg twice daily)
  3. Recommendations on the choice and duration of antibiotic are based on the NICE guideline Otitis media (acute): antimicrobial prescribing [NICE, 2018a], the PHE publication Management of infection guidance for primary care for consultation and local adaptation the British National Formulary (BNF) [BNF 75, 2018], and the BNF for Children [BNF for.

Otitis media is a group of inflammatory diseases of the middle ear. One of the two main types is acute otitis media (AOM), an infection of rapid onset that usually presents with ear pain. In young children this may result in pulling at the ear, increased crying, and poor sleep. Decreased eating and a fever may also be present. The other main type is otitis media with effusion (OME), typically. The duration of this stage is approximately one month to one year. Medicamentous treatment of serous otitis media includes a complex of drugs: Antihistamines that relieve swelling. Loratadin is taken 1 tablet once a day. Side effects are rare, there may be dry mouth and vomiting If IV treatment required: Ceftriaxone Management flow chart hearing difficulty persists after 2 If no alternative diagnosis, Acute Otitis Externa Background Inflammation of the external ear canal o Acute if ≤3 weeks duration o Can be a localised folliculitis that can progress to a boil in the ear cana Otitis media usually starts with a cold or a sore throat caused by bacteria or a virus. The infection spreads through the back of the throat to the middle ear, to which it is connected by the eustachian tube. The infection in the middle ear causes swelling and fluid build-up, which puts pressure on the eardrum


  1. The disease usually begins in childhood1, 2 as a tympanic membrane perforation due to an acute infection of the middle ear, known as acute otitis media (AOM), or as a sequel of less severe forms of otitis media (e.g. secretary OM).3, 4, 5 The infection may occur during the first 6 years of a child's life, with a peak around 2 years. 6 The.
  2. The main focus of treating otitis externa is the treatment of the infection. Otitis externa can be caused by bacteria, fungi or other germs. Antibiotic ear drops are the treatment of choice. 3  The ear drops that your medical provider will prescribe will likely include antibiotics, steroids, or anti-inflammatory medication
  3. The clinical practice guideline on otitis media with effusion (OME) provides evidence-based recommendations on diagnosing and managing OME in children. This is an update of the 1994 clinical practice guideline Otitis Media With Effusion in Young Children, which was developed by the Agency for Healthcare Policy and Research (now the Agency for Healthcare Research and Quality)

The Diagnosis and Management of Acute Otitis Media

  1. The treatment duration for AOM is 5-7 days. In children, prescribe: Child 1 month to 11 years: Body weight under 8 kg: 7.5 mg/kg twice daily. Body weight 8-11 kg: 62.5 mg twice daily. Body weight 12-19 kg: 125 mg twice daily. Body weight 20-29 kg: 187.5 mg twice daily. Body weight 30-40 kg: 250 mg twice daily
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  3. Acute otitis media . A systematic review of short-course (<7 days) versus longer duration therapy in children with acute otitis media found that short-course therapy is non-inferior for clinical cure measured at one month and is associated with a significant reduction in gastrointestinal adverse events. 19 . Mild community-acquired pneumoni
  4. TABLE B: Antibiotic Treatment for Pediatric Patient with Acute Otitis Media (AOM) First line antibiotic therapy is Amoxicillin 80-90 mg/kg/day divided two times a day for 10 days Second line therapy is Amoxillicin-clavulanate (Augmentin) and dosing is dependent upon concentration
  5. Otitis media is inflammation or infection located in the middle ear. Otitis media can occur as a result of a cold, sore throat, or respiratory infection. Facts about otitis media. About 3 out of 4 children have at least one episode of otitis media by the time they are 3 years of age
  6. Otitis Media, Tympanostomy Tubes, and Clinical Practice Guidelines from 2013 this is considered an option for treatment of recurrent AOM. less than three months' duration, from the date of onset (if known) or from the date of diagnosis (i

Otitis Externa: A Practical Guide to Treatment and

The unsolved problem of otitis media in indigenous populations: A systematic review of upper respiratory and middle ear microbiology in indigenous children with otitis media. Microbiome. 2018;6:199. Rieu-Chevreau C, et al. Risk of occurrence and recurrence of otitis media with effusion in children suffering from cleft palate A permanent PET design may be used if a duration of 12-18 months is anticipated. Pain, vertigo, hearing loss, fever, etc. are all possible symptoms of failed otitis media treatment. •Recurrent otitis media. 3-4 episodes of OM in 6 months or or 4-6 episodes in a yea

Antibiotics for Otitis media. Not all cases of otitis require antibiotic therapy. It is important to distinguish Acute otitis media, which may benefit modestly from antibiotics, from Otitis media with effusion, which does not. In otitis media with effusion antibiotics may help if the fluid is still present after a few months and is causing hearing problems in both ears Otitis describes inflammation of the ear caused by infectious or noninfectious processes. Acute otitis externa (AOE) is cellulitis of the ear canal skin, which is almost entirely caused by bacteria [].Otitis media (OM) concerns the middle ear and is further delineated as otitis media with effusion (OME) or acute otitis media (AOM) Otitis media and interna, Latin names for inflammation of the ear chambers located behind the tympanic membrane (ear drum), involve about 50% of all cases of acute vestibular disease.The middle ear is the region located directly behind the tympanic membrane (eardrum). It is made of the different bones and nerves responsible for the diffusion of the sound coming from the outer ear to the brain

Amoxicillin Dosage Guide + Max Dose, Adjustments - Drugs

First line initial treatment for uncomplicated AOM. Click card to see definition . Tap card to see definition . 1. High dose Amoxicillin (80-90 mg/kg/day PO divided in 2 doses) OR. 2. if history of amoxicillin use in the past 90 days, concurrent purulent conjunctivitis, or history of recurrent AOM unresponsive to amoxicillin: -High dose. Parts of the middle ear are infected and swollen and fluid is trapped behind the eardrum. This causes pain in the ear—commonly called an earache. Your child might also have a fever. Otitis media with effusion (OME) sometimes happens after an ear infection has run its course and fluid stays trapped behind the eardrum As has been reported with other illnesses, ethnic and socioeconomic disparities may affect the diagnosis and treatment of acute otitis media. Recent studies have placed socioeconomic status among the top risk factors associated with the development of AOM. the duration of their child's illness is longer than that of most other children. 32. Acute otitis media is defined as an infection of the middle ear space. It is a spectrum of diseases that include acute otitis media (AOM), chronic suppurative otitis media (CSOM), and otitis media with effusion (OME). Acute otitis media is the second most common pediatric diagnosis in the emergency department following upper respiratory infections. Although otitis media can occur at any age. Videos (0) Acute otitis media is a bacterial or viral infection of the middle ear, usually accompanying an upper respiratory infection. Symptoms include otalgia, often with systemic symptoms (eg, fever, nausea, vomiting, diarrhea), especially in the very young. Diagnosis is based on otoscopy. Treatment is with analgesics and sometimes antibiotics

Otitis media is most often an inner ear infection that is sometimes caused by bacteria or viruses. These germs grow into the inner ear via the Eustachian tube from the throat. Normally, the inner ear drains into the throat when you have too much fluid from colds or allergies Little P, Gould C, Williamson I, et al. Pragmatic randomised controlled trial of two prescribing strategies for childhood acute otitis media. BMJ2001 Feb 10; 322 : 336 -42 [OpenUrl][1][Abstract/FREE Full Text][2] QUESTION: Is a delayed (72 hour wait and see) prescribing strategy for antibiotics as effective as standard immediate prescribing for children with acute otitis media (AOM)

Among children 6 to 23 months of age with acute otitis media, reduced-duration anti- microbial treatment resulted in less favorable outcomes than standard-duration treat History of present illness in patients with ear discharge should cover duration of symptoms and whether symptoms have been recurrent. Important associated symptoms include pain, itching, decreased hearing, vertigo, and tinnitus. external otitis media, foreign body, Treatment is directed at the cause of the ear discharge. Most physicians. Most commonly caused by and species. Presents with rapid onset of ear pain, tenderness, itching, aural fullness, and hearing loss. The development of malignant or necrotising otitis externa is more common in diabetic and immunocompromised people. Treatment of the uncomplicated form is cleanin.. 1. Acute Otitis Media. Traditionally all acute otitis media has been treated with antibiotics. However, evidence would suggest that this at best shortens the duration of the pain by less than a day, and does not reduce the recurrence rate or the complication rate of acute otitis media Otitis Media (Middle Ear Infection) in Adults Otitis media is another name for a middle ear infection. It means an infection behind your eardrum. This kind of ear infection can happen after any condition that keeps fluid from draining from the middle ear. These conditions include allergies, a cold, a sore throat, or a respiratory infection

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