Childhood Diseases

Question
Posted by: Kinnie | 2008/07/17

Q.

Antibiotics for repeating ear infections

Hallo Doc
My baby boy is 9 month old. At 6 months he got grommets after a severe middle ear infection. Two weeks later he had fluid comming out of his ears with a bad cough and runny nose. Our GP prescribed antibiotics which seems to work. Also telling us the grommets are doing their job. Another 3 weeks later the same story, then took him to paed, which refered him straight to our ENT. Bad upper respiratory infection which ended with physio and antibiotics (Rosephin). ENT took a swab from the ear and they found 2 bacteria growing in the ears. ENT said that the fluid is sign of an infection. Another 2 weeks later fluid coming out of the ears again. Phone ENT the next day and he precribe Klacid antibiotics 2 times a day for 5 days and 1 time a day for 20 days. My baby is in a creche and probably have typical " creche syndrome" . Because of circumstances it not possible to put him somewhere else. I feel that the ENT is trying to find the right antibiotics. Baby is not sleeping well at night and also have a runny nose and a dry cough, otherwise he is fine, eating and drinking very well. It seems the antibiotics is starting to work but very slowly. What is you opinion?

Expert's Reply

A.

Paediatrician

You know my opinion about this kind of situation. Your son has the typical symptoms and problems of the 'creche syndrome' and is on powerful antibiotics often, including an intravenous antibiotic once.At 6 months he already needed grommets. You need to remove him from this creche and need to find a day mother with only one or two other children or you need to find a good child minder to look after him at home. In the meantime make sure that he is taking daily probiotics such as Probiflora or Reuteri to enhance his immunity.

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3
user comments

C.

Posted by: BMj | 2008/07/18

Kinnie, I hear what the pead is saying - but I also understand the practical implications. Just to ' ease the mother guilt'  - my son was never in creche, I am a SAHM and it has made no difference to the amount or frequency of his ear problems. I was just unlucky. I have heard of a product called RESPITRON made by Sportron that is apparently excellent for all these ENT infections - but it takes 4-6 weeks to see the benefits. Good luck girl, if I ever find the ' cure'  for our LO ear probs I will post on the parenting site.

Reply to BMj
Posted by: Kinnie | 2008/07/17

Thanks for your response BMJ. We live in Cape Town.

Reply to Kinnie
Posted by: BMJ | 2008/07/17

Kinnie, I have a 5 year old who has had 7 sets of grommets (twice a year) since he was a baby. He would get very bad ear infections, then grommets, then his ears would discharge (sometimes for weeks). We would usually then have to put an antibiotic/ steriod)eardrop in his ears. (you almost masage it in) and that would dry up the ear. Then the grommets fall out and within weeks, we have an earinfection that if we do not put the gommet in, perforates the eardrum. We have been through this cycle of infection/antibiotic/grommet/discharge/no grommet/infection etc for 4 years. I have an excellent ENT and he has admitted that it has been his toughest case. I unfortunately dont have an answer to what would ' fix'  the problem as we are currently in a antibiotic before the next grommets phase. It is just very annoying and expensive. Now when my son gets loud - I know it is grommet time again. Which city do you stay in ?

GOOD LUCK
BMJ

Reply to BMJ

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