01/12/2025
🚨 From the common cases
📍 Treatment of in children
Initial Management of in Children
_Who would we prefer to start an antibiotics and who would be given a chance?
_ What are the alternatives in case the patient is allergic to pencelin?
_ If we give the child a heat absorber of the type and the temperature rises again before 4 hours after the dose, what is the suggested alternative treatment?
👶 Children who need antibiotics immediately:
_ Age < 2 Years
_ Temperature ارة 39°C
_ Severe pain unresponsive to palliatives
_Pretty obvious buzz in the drum
_Ear extractions
_Ear infection
_Symptoms _ 72 hours
🔵 Children with the least need antibiotics immediately:
_ Age سنت 2 years
_ Temperature < 39°C
_Mild-Medium Pain Responding to Hospitals
_Infection in one ear only
_ without a blow in the drum
_ Symptoms < 72 hours
: The basic treatment plan:
🔹 Treatment starts with pain killers like:
Paracetamol /
/
🟦 If there is no danger: Note first is a preferred choice
🌀 Serious presence such as (age is less than 6 months, lack of immunity, severe illness / or desire of family:
Starting the counter right away
💊 Antibiotic selection:
📌 There is no allergy to pensylin:
The two conclusions are at:
_Using Amoxicillin last 30 days
_Amoxicillin previous response failure
_ Eye infection is synchronized with the ear
📌 With the presence of bencylin allergy, the alternative is:
_ Instant IgE allergy
/
_ Non-immediate allergy (not IgE):
and
Oral / IM
⏱ Follow up :
_ No improvement in 72 hours ⬅️ Change the treatment
_recurring inflammation / speech or hearing delay ⬅️ auditory assessment
_Liquids behind the drum ⬅️ Referral to a specialist in nose, ear and throat
📍 The basic idea :
🩺Start with pesticides, observe if the condition is not severe, the antidote is not always the first solution
