A one-year-old baby has congenital ear fistula

Patient's question:

A one-year-old baby has congenital ear fistula. It has been inflamed and swollen for two days now. So far, there has been no discharge of pus or anything else from the ear hole. They have taken Cefixime granules and applied erythromycin ointment, but it doesn't seem to be improving. At what point should they seek medical treatment?

Doctor's answer:

Dear Consultee,
Regarding the situation you described, since oral medications need to undergo hepatic-intestinal circulation and repeated passage through the gastrointestinal tract, the amount of medication reaching the target area is very small. Therefore, the effectiveness of oral medications will never be very significant. For your child's condition, it is still necessary to go to the hospital or clinic for intravenous infusion, using medications such as amoxicillin or cephalexin.

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