EAR INFECTION

* SOME INFORMATION IN THIS PRESENTATION COMES FROM OUTSIDE SOURCES

MADDIE NEWMAN

Aboagye, Edward. Otitis Media. Digital image. Donmedpost. N.p., 04 Feb. 2016. Web. 15 Feb. 2017. <http://donmedpost.com/otitis-media-new-guideline-includes-screening-at-risk-kids/>
INTRODUCTION

Madison Newman
Spring 2017- ISM
Mrs. Kristie Click- ISM instructor
Mentor- Dr. Marissa Perona
Project- Ear Infections
WHAT IS INDEPENDENT STUDY MENTORSHIP

Independent Study Mentorship is a collegiate level course for students who are wanting to have hands on
experience in a field of work. The students in the program have a mentor for the course of a semester. They
shadow them at their work place to gain information about their selected topic and other information the
student learns. Within the class we have multiple assignments to help us get to our final project, and things that
allow us to better understand our selected profession
MY MENTOR

Mentor- Dr. Marissa Perona

Occupation- Pediatric Doctor
Her Education: Did her residency at a hospital in New York
Graduated from St. Louis University PHD

Artifact 1
 MENTORSHIP SITE

Nassau Bay Pediatric Office

Off of Medical Center Blvd and Highway 3

"Medical Care for Infants, Children and Adolescents."

Nassau Bay Pediatrics. N.p., 2013. Web. 20 Feb. 2017. <http://nbpedi.com/>.
WHY THIS TOPIC
I chose this topic because its something that I personally dealt with and I know its something that a lot of parents/
guardians have to deal with. Below is a picture of a brain storming activity that we did in class to think of ideas go do
our project over.

Artifact 2
 ARTIFACTS

Artifact 5&6
5 is outer ear, 6 is bones in ear
Artifact 9: Example schedule
Day1 8 am
Day2 8 am
Day3 8 am
Day4 8 am
Day5 8 am
Artifact 3 Day6 8 am Artifact 7
Day7 - 8 am
Day8 8 am
Day9 8 am
Day10 8 am
WHAT'S GOING TO BE TALKED ABOUT?

Ear anatomy
General ear infection definition
Symptoms
Current event over antibiotic resistance
Otitis Media with effusion
Acute Otitis media ear infections
Chronic ear infections
Medicine treatment
Side-Effects of the medicine
Surgical treatments
 "Hearing Test." Hearing Test | Online Hearing Tests | Information on Hearing Tests. N.p., n.d.
Web. 22 Feb. 2017. <http://myhearingtest.net/>.

EAR ANATOMY
 WHAT IS AN EAR INFECTION?

An ear infection (acute otitis media) is most often a bacterial or viral infection that affects
the middle ear, the air-filled space behind the eardrum that contains the tiny vibrating bones
of the ear. (6)
Roughly 75% of children will have an ear infection (2)

Communications, Office Of. "Middle Ear Infection

Lucas, Amy, Mary M. Overland Park, Jason D Olathe KS, and Ben P.
Kansas City KS. "Natural and Effective Ear Infection Treatment Options." Fulk
Chiropractic. N.p., 29 Apr. 2016. Web. 25 Apr. 2017.
<http://www.fulkchiropractic.com/ear-infection-treatment-kansas-city/>.
Images." Department of Otorhinolaryngology. N.p., 31 July 2014. Web.
25 Apr. 2017. <https://med.uth.edu/orl/online-ear-disease/chapter-
8-middle-ear-infection/middle-ear-infection-images/>.
 SYMPTOMS OF AN EAR INFECTION ARTIFACT 4
ear pain,
pulling at ears for toddlers,
excessive crying,
fluid draining from ear,
messed up sleep schedule,
fever,
headaches,
hearing issues,
irritability (1)
For those who cant talk look for symptoms like unusual irritability,
difficulty sleeping
tugging or pulling at one or both ears
fever
fluid draining from the ear
"Fever." The Kids Doctor. N.p., n.d. Web. 25 Apr. 2017.
not respond to soft sounds(2) <http://www.kidsdr.com/tag/fever>.
 CURRENT EVENT
FULL COURSE OF ANTIBIOTICS IS BEST FOR INFANT EAR INFECTIONS, STUDY FINDS

Most of the time the child is on antibiotics for 10 days because the body often builds up drug-resistant bacteria to
the antibiotics.
For the study done by Dr. Doland H. Arnold, he used 520 babies from age 6 to 23 months old, who had middle-
ear infections. It's common that a doctor will prescribe amoxicillin combined with clavulanate.
They saw that of the babies failed the 5 day treatment compared with the 16% of the 10 day group.
While still conducting the study they saw 44% of babies who had a double ear infection didn't get better within 5
day of treatment compared to the 25% of those given the antibiotics for 10 day.
The study did show that the amount of duration of the antibiotics didn't result in less bacteria resistance. (5)
 OTITIS MEDIA WITH EFFUSION

Otitis media with effusion is fluid in the middle ear without any signs or symptoms of having the build up (1)
Common reasons for the buildup is allergies, irritants, respiratory infections, drinking laying down, air pressure
changes (1)
if fluid is present without the sign of infection it might be otitis media with effusion, if infection is present its a
case of Acute otitis media (1)

"What Is Otitis Media?" Hear Our Heart Ear Bus Project. N.p., n.d. Web. 25 Apr. 2017.
<http://www.hearourheart.org/what-is-otitis-media.html>.
"Middle-Ear Infection (Otitis Media) Guide: Causes, Symptoms and Treatment Options." Drugs.com. Drugs.com, 2000.
Web. 22 Feb. 2017. <https://www.drugs.com/health-guide/middle-ear-infection-otitis-media.html>.
 ACUTE OTITIS MEDIA EAR INFECTIONS
For acute the most common symptoms are severe ear achy, fever, flue like symptoms, hearing difficulties(2)
Acute needs antibiotics while effusion does not(2)
commonly started from bacteria like Streptococcus pneumoniae, Haemophilus influenza, and Moraxella catarrhalis(1)
AOM virus starters are respiratory syncytial virus, rhinoviruses, influenza viruses, and adenoviruses(1)
AOM mild case may fade after 2-3 without antibiotics, if not better they might need the antibiotics (1)
If the child has serve AOM antibiotics are recommended right away, Doctor will be able to tell you the difference(1)
Some ways the child might get the infection is because of daycare attendance,
drinking a bottle laying down, fall and winter, and exposer to pollutions or smoke (1)
Acute ear infections can have a small duration time while chronic may occur many times
and cause damage (4)
Occurs when the Eustachian tubes are swollen or blocked so fluid fields up (4)

"Ear Infections." Rosh Review. N.p., n.d. Web. 25 Apr. 2017. <https://app.roshreview.com/>.
 CHRONIC EAR INFECTIONS

Chronic ear infection is fluid, swelling, or an infection behind the eardrum that does not go away or keeps
coming back, and causes long-term or permanent damage to the ear(12)
Chronic ear infection may be less noticeable than acute (4)
the doctor may collect a simple to run test to figure out what type of bacteria is present, they might want to do
a head computed tomography to see if the infection has spread, and if its a chronic ear infection a hearing test
may be done (4)

"The Anatomy of an Ear Infection - Risks, Symptoms, and Treatments." The

Original Doctor Mom Otoscope. N.p., n.d. Web. 25 Apr. 2017.
<http://www.otoscopes.org/earinfection.htm>.
 MEDICINE TREATMENT ARTIFACT 8
Search Bactrim Venuspharmacy.net. N.p., n.d. Web. 25 Apr.
2017.
<http://venuspharmacy.net/search.html?q=Bactrim>.

Amoxicillin,
Augmentin (amoxicillin& clavulanic), "Search Results." Online Drugstore - Search. N.p., n.d. Web. 25 Apr. 2017. <http://www.top-canadian-
shop.com/site/search?q=Amoxicillin%2B500mg%2Bdosage%2Bfor%2Bear%2Binfection&acc=6414>.

Azithromycin,
cefdinir,
Bactrim

"Cefdinir User Reviews for Otitis Media at

"Rightatrium." Life after Nclex-RN. N.p., 23
May 2012. Web. 25 Apr. 2017.
<http://rightatrium.tumblr.com/post/23611
821720>.
Drugs.com." Drugs.com. Drugs.com, n.d. Web. 25 Apr. "Augmentin Uses, Dosage & Side
2017. <https://www.drugs.com/comments/cefdinir/for- Effects." Drugs.com. Drugs.com,
otitis-media.html>. n.d. Web. 25 Apr. 2017.
<https://www.drugs.com/augmen
tin.html>.
SIDE-EFFECTS OF THE MEDICINE

Amoxicillin- watery bowel movements (diarrhea),stomach cramps or bloating (fullness),upset stomach or throwing up
(vomiting), no improvement in condition or if you believe your childs condition is worse, mild skin rash(7)
Augmentin- Nausea,Vomiting, Headache, Diarrhea, Gas, Stomach pain, Skin rash or itching, White patches in your mouth
or throat, Vaginal yeast infection (itching or discharge) (8)
Azithromycin- diarrhea or loose stools, nausea, abdominal pain, stomach upset, vomiting, constipation, dizziness,
tiredness, headache, vaginal itching or discharge, nervousness, sleep problems (insomnia), skin rash or itching, ringing in
the ears, hearing problems, or decreased sense of taste or smell (9)
Cefdinir- Diarrhea, Black, tarry stools, chest pain, Chills, Cough, Fever, painful or difficult urination, shortness of breath,
sore throat, sores, ulcers, or white spots on the lips or in the mouth, swollen glands, unusual bleeding or bruising,
unusual tiredness or weakness(10)
Bactrim- nausea, Stomach ache, Vomiting, loss of appetite, Itchiness, Rash, Hives, Headache, Abdominal pain or diarrhea,
Insomnia, Mild tiredness, Mild weakness(11)
 SURGICAL TREATMENTS

https://www.youtube.com/watch?v=cOqY6s5w9Gs
Link to insertion
Artifat10
5-6 with in a year, or 3 back-to-back with failed antibiotics or hearing loss

Endoscopic Ventilation Tube Insertion. Dir. Fabricio. Perf. Drfabricioscapini.YouTube, 2 June 2012. Web. 25 Apr. 2017.
<https://www.youtube.com/watch?v=cOqY6s5w9Gs>.

"Ear Tubes: Before Your Child's Surgery." Health-Encyclopedia - Kaiser Permanente. Kaiser Foundation Health Plan, Inc., 2017. Web. 23 Feb. 2017.
<https://healthy.kaiserpermanente.org/health/care/consumer/health-wellness/conditions-diseases/he2/!ut/p/a1/hdFNb4JAEAbg3-KBo-
wgSLE3tBWQ4kdrKt1Ls8AWSNddAquEf99F7cGkDXOb5Jk3mRmEUYwwJ-cyJ7IUnLC-
x_bncvW2mc8NFzzPX0LgP3lGaHgTcGx0QCuEcyaSC_4opKweNdAgFVxSLmvKM1rTWgOEU9lVFMVVOQSZSAlTkvLxqRnC5JpaUMJkMaY87VImKp
qVZGiyaMsMxST5Niy1iMIuT0wnR7imX73RT7XaqU9oLhFt2-
q5EDmjeiqOKuGPkUI0EsX3Ut0I359xY80cCKKFvwjWIYA3uYGtC4ETwdQA17QhsPdm-BCtDfCsGwAz2F0fsbVB2XAfvs9CE-
A3Af4pF1B1dDqTnV_owZHTxH593o1GP_tYarA!/dl5/d5/L2dBISEvZ0FBIS9nQSEh/>.
TANGIBLE PRODUCT
CONCLUSION

With in this presentation we talked about acute otitis media, Otitis media with effusion, and chronic medication
We also talked about the common medicines and their side effects
at the end we watched a video in which a tube was inserted into the ear drum.
WEEBLY

http://madisonnewman.weebly.com/
THANK YOU!

I want to thank my mom who has helped me and encouraged me to continue going , my dad who has been a rock
when I thought it was all to much and wanted to give up and my brother who made me laugh when I was having
a rough day.
Thanks to my evaluators Mrs. Kim and Mrs. Tonya
I also want to thank my mentor, Marissa Perona , who has so willingly allowed me to shadow her this semester,
and answered all my random questions , and helped me learning more about the Pediatric field .
Lastly, I want to thank Mrs. Click, my ISM teacher, who has given me the opportunity to be in the field of work
that I want to work in after college and has given me the tools and work to make me successful for this year.
 WORK CITED
(1) -"Ear Infection." Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 27 Jan. 2017. Web.
23 Mar. 2017. <https://www.cdc.gov/getsmart/community/for-patients/common-illnesses/ear-infection.html>.
(2)- "Otitis Media: Antibiotics for Ear Infection." Otitis Media: Antibiotics for Ear Infection. AAP Clinical Practice Guidelines for
The Diagnosis and Management of Acute Otitis Media, July 2010. Web. 26 Mar. 2017.
<http://www.emedexpert.com/conditions/otitis-media.shtml>.
(3)- McCarthy, Claire. "The Right Way to Treat an Ear Infection." Parents. Parents, 11 June 2015. Web. 26 Mar. 2017.
<http://www.parents.com/baby/health/ear-infection/the-right-way-to-treat-an-ear-infection/>.
(4)- Normandin, Bree, and Marijane Leonard. "Ear Infections." Healthline. Healthline Media, 18 July 2012. Web. 26 Mar. 2017.
<http://www.healthline.com/health/ear-infections?m=3#Causes2>.
(5)-- Louis, Catherine Saint. "Full Course of Antibiotics Is Best for Infant Ear Infections, Study Finds." The New York Times. N.p.,
21 Dec. 2016. Web. 8 Feb. 2017. <https://www.nytimes.com/2016/12/21/health/antibiotics-ear-infections-babies.html?_r=1>.
(6)-"Ear Infection (middle Ear)." Mayo Clinic. Mayo Foundation for Medical Education and Research, 19 Apr. 2016. Web. 25 Apr.
2017. <http://www.mayoclinic.org/diseases-conditions/ear-infections/home/ovc-20199482>.
WORK CITIED

(7)- AboutKidsHealth. "Amoxicillin." AboutKidsHealth. AboutKidsHealth, 02 June 2015. Web. 25 Apr. 2017.
<http://www.aboutkidshealth.ca/En/HealthAZ/Drugs/Pages/Amoxicillin.aspx>.
(8)- Cunha, John P. "Common Side Effects of Augmentin (Amoxicillin Clavulanate) Drug Center."RxList. N.p., 10 Mar. 2017.
Web. 25 Apr. 2017. <http://www.rxlist.com/augmentin-side-effects-drug-center.htm>.
(9)Cunha, John P. "Common Side Effects of Zithromax (Azithromycin) Drug Center." RxList. N.p., 1 Sept. 2016. Web. 25
Apr. 2017. <http://www.rxlist.com/zithromax-side-effects-drug-center.htm>.
(10)- "Cefdinir Side Effects in Detail." Drugs.com. Drugs.com, n.d. Web. 25 Apr. 2017. <https://www.drugs.com/sfx/cefdinir-
side-effects.html>.
(11) -Bennington-Castro, Joseph. "Bactrim - Side Effects, Dosage, Interactions | Everyday Health." EverydayHealth.com.
N.p., 12 May 2015. Web. 25 Apr. 2017. <http://www.everydayhealth.com/drugs/bactrim>
(12)-"Acute and Chronic Ear Infections." . N.p., n.d. Web. 25 Apr. 2017. <http://www.fairbanksent.com/acute-and-
chronic-ear-infections/>.