Question:
If my child is over the age of 2, has a one sided earache and no or a low grade fever (under 100F), and slightly irritable, should I get antibiotics to treat it?
Answer:
No
MedHead Confidence Score: 8
Amount Saved: $150 doctor visit
MedHead Message:
This Cochrane review showed that for every 14 kids who get an antibiotic for an ear infection, one will have significant vomiting, diarrhea, rash, or combination of all 3. Think about that before carting your kiddo off to the local urgent care, who will undoubtedly give you the antibiotic to justify you $200 urgent care charge. Most kids don’t even need antibiotics. Tylenol, ibuprofen, and time work well, without the cost and the antibiotic resistance that is now starting to rear its ugly head. Save the $200 and the cost of the antibiotic and instead take your kid to the movies every week for 3 months (after they get better of course).
References:
1. Lieberthal, AS et al. American Academy of Pediatrics, American Academy of Family Physicians. The diagnosis and management of acute otitis media. Pediatrics. 2013 Mar;131(3):e964–99. 2. Venekamp RP, Sanders SL, Glasziou PP, Del Mar CB, Rovers MM. Antibiotics for acute otitis media in children. Cochrane Database of Systematic Reviews 2015, Issue 6. Art. No.: CD000219. DOI: 10.1002/14651858.CD000219.pub4. 3. http://www.choosingwisely.org/clinician-lists/american-academy-family-physicians-antibiotics-for-otitis-media-in-children/ accessed 7/12/19
