By: Sarah Nicole Ramirez and
Margarita Hughes
• There are three types of Otis Media
• 1. Acute otitis media
• 2. Otitis media with effusion
• 3. Otitis externa (Swimmer’s Ear)
• A type of ear infection that is usually painful and may be
treated with antibiotics.
• Symptoms include:
• pain, redness of the eardrum, pus in the ear, and fever, difficulty
balancing.
• Children may pull on the ear, and infants or toddlers may be shorttempered
• Antibiotics are often prescribed to children, but are not always
given if not necessary.
• A build up of fluid in the middle ear without signs and
symptoms of acute infection
• It is more common than Acute Otitis Media
• May be caused by viral upper respiratory infections, allergies, or
exposure to irritants such as cigarette smoke. The build up of fluid in the
middle ear does not usually cause pain and almost
• It will usually not be treated with an antibiotic
• More common during the spring and summer.
• Commonly known as Swimmer's Ear
• It is an infection of the ear or outer ear canal or sometimes both
• Can cause the ear to itch or become red and swollen so that
touching the ear or putting pressure is very painful
• There may also be pus that drains from the ear
• Antibiotics are usually needed to treat otitis externa
AOM
• Often caused by bacteria, but can
also be caused by viruses
• Bacteria:
• Streptococcus pneumoniae
• G+, coccus
• Hemophilus influenzae
• G-, rod shaped
• Viruses
• Respiratory syncytial virus
• Rhinoviruses
• Influenza virus
OME
• Fluid may build up in the
middle ear for several
reasons
• When child has a cold
• Remaining fluid after child had
an episode of AOM
• Mostly seen in children between infants and children at the age of three
• It is an upper respiratory infection which mostly affects the ear
• Gram positive and Gram Negative bacterium can be the cause, depending
on the type of infection it is
• It was first seen in 1971
• By the age of three 85% of children will have Otis Media at least once in
their life
• OME more common in the winter and early spring
• Antibiotic is usually given depending on the type of bacteria that is causing the
infection. Sometimes infection may go away on its own, therefore antibiotics are not
always given
• Depending on the type of infection
• Example Swimmer’s ear
• Ear drops are given and sometimes Antibiotic that has to be taken by mouth if the
infection spreads beyond the ear
• People with chronic swimmer's ear may need long-term or given repeated
treatments to avoid future problems of the ear
•
•
•
•
Corticosteroids to reduce itching and inflammation of the ear
Pain medication, such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin)
Vinegar (acetic acid) ear drops
Placing something warm against the ears may reduce pain.
• Otis media caused by a bacteria is not passed from person to
person
• Illustration below shows transmission if caused by a virus
• Try not to scratch the ears or insert cotton swabs or other objects in the ears
• Keep ears clean and dry, and do not let water enter the ears when
showering, shampooing, or bathing
• Dry your ear thoroughly after exposure to moisture
• Use earplugs when swimming, and avoid swimming in polluted water
• Avoid smoking or exposure to second hand smoke and do not expose
children to second hand smoke
• Avoid exposure to air pollution
• Keep you and your child up to date with recommended immunizations
http://www.cdc.gov/getsmart/antibiotic-use/uri/ear-infection.html
http://www.biomedcentral.com/1471-2431/13/8
http://www.healthinfonet.ecu.edu.au/key-resources/promotionresources?lid=14986
http://archpedi.jamanetwork.com/article.aspx?articleid=508034
http://medical-dictionary.thefreedictionary.com/otitis+media
Pictures:
http://www.pedisurg.com/pteducent/otitis_media.htm
http://www.google.com/imgres?q=otis+media+with+effusion&um=1&sa=N&hl=en&rlz=1R2ADFA_enUS477&b
iw=1366&bih=616&tbm=isch&tbnid=RbWSv-uUVWdo-M:&imgrefurl=http://quizlet.com/12592375/earotoscopy-otitis-media-ome-aom-csom-come-eent-flashcards/&docid=UUpAEsrsSnqQzM&imgurl=http://o.quizlet.com/kEFbDn442Hp9oS0y.BsGA_m.jpg&w=240&h=235&ei=_LFwUZ2HIny2gXE_YHwBQ&zoom=1&iact=hc&vpx=966&vpy=221&dur=218&hovh=188&hovw=192&tx=84&ty=114
&page=2&tbnh=145&tbnw=140&start=20&ndsp=31&ved=1t:429,r:49,s:0,i:238