Steve Shelov MD DrMDK.com
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Male: The new move if your child is over three and has an ear infection, we are not doing more of a wait and see for a day or two because most of them are viral, and have seen new techniques so we can use lesser antibiotics even for ear infection today. Dr. Shelov: It turns out that we are probably overusing antibiotics for ear infections also. We have learned our lessons because we have also seen resistance of the organisms that cause ear infections. We also know that probably there were some over diagnosis of an ear infection. So what we have done on the recommendations of the academy of pediatrics and others is an older child, two, three, over…two or three. We are saying if there is a diagnose of Otitis Media, if it is truly a diagnosis then wait a day before you do antibiotics. If fever continues or gets worse or the ear pain clearly is not resolving then another visit to the pediatrician will then say “Okay, you are one of those kids who does have a tube bacterial infection for their ear infection and we are going to treat them with antibiotics.” But that will cut out the use of antibiotics for a lot of cases where it probably was not necessary. Those children under two require antibiotics on first visit.