How to Deal with Ear Pain in a Child
When a child complains of ear pain, many doctors jump to prescribe antibiotics, but that’s not always the best approach. In fact, many cases of acute otitis media resolve on their own without them! Among the usual culprits, while S. pneumoniae is known for causing trouble and often leads to higher fevers and more redness in the eardrum, we’ve seen a significant decline in cases since the pneumococcal conjugate vaccine was rolled out in 2000.
The overuse of antibiotics is a growing concern, contributing to resistance and bringing along a host of potential side effects like rashes, diarrhea, and even severe allergic reactions or infections from Clostridioides difficile. Shockingly, over 10 million antibiotic prescriptions are written every year for acute otitis media, many for broad-spectrum drugs.
A study from a Denver health center revealed that nearly 20% of children were given non–first-line antibiotics, and a staggering 77% received prescriptions for longer durations than recommended. A Cochrane review highlights that for every 14 children treated with antibiotics, one ends up with vomiting, diarrhea, or a rash. Often, these rashes are linked to viral infections, but kids labeled as allergic tend to receive broader-spectrum antibiotics in the future.
Whether visiting a trusted pediatrician or an urgent care facility, many parents are becoming increasingly aware of antibiotic resistance and side effects. They are often receptive to the idea of watchful waiting—a strategy that can prevent unnecessary harm. Delaying treatment for 48 to 72 hours, when appropriate, can have minimal downsides, allowing parents and healthcare providers to make the best decision for their child’s needs.
