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Health officials discourage use of antibiotics for most child ear infections

Infection Control Monitor, March 4, 2004

Two leading medical groups plan to recommend this spring that physicians stop treating most ear infections in children with antibiotics, the Associated Press reports.

The guidance runs contrary to past pediatric practice, since about half of all antibiotics prescribed to preschool children are for treating ear infections. Health officials believe if they can reduce child antibiotic use for such infections, they can stop the rise of antibiotic-resistant germs created by overuse of the drugs.

The guidelines from the American Academy of Pediatrics and the American Academy of Family Physicians must be formally approved by the medical bodies before they are published for physicians.

About 80% of children with ear infections typically recover in two to seven days, said <b>Richard Besser, MD,</b> acting chief of the meningitis and special pathogens branch of the CDC.

In the current proposal, physicians would prescribe antibiotics only for children with serious middle ear infections, known as acute otitis media. Symptoms include a minimum fever of 102.6 degrees or severe ear pain. Milder cases would simply be observed.

Between 5 million and 6 million children under the age of 5 suffer ear infections each year, and about 10 million prescriptions each year are written for ear infections for children of all ages.

Go to http://www.cdc.gov/drugresistance/healthcare for more information on antimicrobial resistance.

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