10/17/17

EAR INFECTIONS

What is an ear infection?

An ear infection is exactly what it says it is, it’s an infection of the ear. They are most often viral or bacterial infections that affect the middle ear. This part of the ear is air filled and it’s located behind the eardrum, also called the tympanic membrane. This part of the ear contains the tiny vibrating bones that help produce sound. Just like any other infection, ear infections hurt. They are painful for anybody who has one, but they are especially painful for a child. Another term that you might hear being thrown around for an ear infection is its medical term, which is called otitis media (OM).



Why are children more at risk?

Ear infections can happen to everybody. Unfortunately, children are at the greatest risk because of their immune system and eustachian tubes. First, the child’s immune system is not quite fully developed. The immune system plays a nice role in defending and protecting our body from foreign invaders. Because it has not fully developed it does not have the exact same effect in children as it does in adults. Second, the eustachian tubes in children are shorter, narrower, and more horizontal when compared to adults’ eustachian tubes. The size, shape and positioning all play a role into the increased risk for ear infections in children.

The eustachian tubes connect and present a passageway from the middle ear to the upper back part of the throat. According to nidcd.nih.gov (2017), the opening and closing of the eustachian tubes at the upper back part of the throat allows:

·         Adequate air pressure in the middle ear

·         Clean, fresh air up into the middle ear

·         Elimination of any secretions from the middle ear
 
If you’re still trying to figure out how the child is at an increased risk, take a look at this image presenting all the ways that lead to an increased risk for ear infections in children.
 

What are signs and symptoms?
 
The child’s behavior is a good indicator for whether they might have an ear infection. According to mayoclinic.org (n.d.), some signs and symptoms for an ear infection in a child include:

·         Fluid drainage from an ear
 
·         Fever of or above 100 
 
·         Ear pain while lying down
 
·         Difficulty with sleeping
 
·         Tugging or pulling on an ear
 

·         More frequent crying
 

·         Headaches
 

·         Difficulty hearing and listening to others
 
If you see these signs and symptoms lasting for a couple of days or if they’re present in a child younger than six months, I advise you to go see a doctor. Signs and symptoms lasting this long could potentially be severe and it’s best to go see your child’s doctor as soon as possible to get them treated for it.
 
 
What are ways to help prevent ear infections from occurring?
Some of the simplest and easiest tasks can go a long way in helping prevent the occurrence of ear infections. The mayoclinic.org (n.d.) website provides us with some ways to help reduce the risk of ear infections in children. The first way is for the mother to breast feed their baby. If you decide not to breast feed, hold the baby upright when bottle feeding. Another way to reduce the risk is to not let the child lye down and go to sleep with a bottle. Your child should also perform hand hygiene frequently, this should be done after every trip to the bathroom, before and after eating, and after coming in contact with toys or other objects that may be full of germs. Every year your child should be vaccinated and you should try to stay away from second hand smoke as much as possible.
 
References
 
Mayo Clinic. (n.d.). Ear infection (middle ear). Retrieved 10/6/2017, from http://www.mayoclinic.org/diseases-conditions/ear-infections/symptoms-causes/syc-20351616

National Institute on Deafness and Other Communication Disorders (NIDCD). (2017). Ear Infections in Children. Retrieved 10/6/2017, from https://www.nidcd.nih.gov/health/ear-infections-children#4