How should otitis media with purulent discharge be treated in children?

Patient's question:

My little girl, who is 1 year old this year, has been scratching her ears all week, saying it itches. I noticed that there is a lot of yellow earwax. At the same time, she seems to have little appetite and feels very weak. I wonder: How should otitis media with pus discharge be treated in children?

Doctor's answer:

Generally speaking, if it is otitis media in children, symptomatic treatment with antibiotics can be given to the child, which is quite effective. Ear secretion bacterial culture can be performed, and anti-inflammatory ear drops can be used based on the test results. If the child's ear pain is severe, appropriate pain-relieving medication should also be given. If the child also has a high fever, fever-reducing medication can be considered. However, if the fever persists, it is essential to seek medical attention promptly. If there are multiple acute severe episodes or if a tympanic membrane perforation has occurred, surgical treatment should be performed in a timely manner. Parents should also pay attention to protective measures to prevent the recurrence of otitis media.

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