One of the penicillins (not new, broad-spectrum...

Recognizing the urgent task in 1998, Center for Disease Control and Academy of Pediatrics issued guidelines for when (and if not use) of antibiotics for the most common pediatric respiratory infections (

Pediatrics 1998; 101:163 - 184). Ear infections, sinus, bronchitis, sore throat, and

account for three quarters of all prescriptions of antibiotics. These principles should not be rigidly attached to each child, but they give a good general idea of ​​when to avoid antibiotics. Sore throat with a diagnosis of streptococcal test, despite the mouth. Antibiotics should not be prescribed for angina without testing positive for streptococci form strattera side effects or another. One of the penicillins (not new, broad-spectrum antibiotics) is the best choice if. Bronchitis No matter how long it lasts, bronchitis or

in children rarely warrants antibiotics. Sometimes, if the cough lasts more than 10 days and specific bacteria is suspected, a round of antibiotics may be useful. Children with primary lung disease (not including >> <<) may also benefit from antibiotics when their disease flares. Cold should not be given antibiotics for colds. Thick, discolored nasal discharge is a normal part of the cold and not a reason for antibiotics unless it lasts longer than 10 to 14 days. Sinus infection Most children should not give antibiotics if there is nasal discharge and cough without any improvement after more than 10 to 14 days. If there is some improvement on the 10-day, antibiotics are probably not useful. Children with severe symptoms (, facial pain, >> <<) may benefit from earlier treatment. Using the very narrow spectrum antibiotics possible. Ear infections are not all equal. Each ear should be classified as acute otitis media (START) or otitis media with effusion (OME). Most children with ear infections in OME - fluid in the ear without signs of acute infection of the middle ear. Half of children with colds get OME. CCA is the fluid in the ear accompanied by signs such as pus behind the eardrum, eardrum pain, redness of individual drum or discharge from the ear. Ear pulling, runny nose, restlessness, and changes in sleep may be accompanied or CCA or OME and diagnosis of acute otitis media. Antibiotics are appropriate for CCA with documented fluid in the ear and clear signs of acute illness. >> << This is a good way to confirm the presence of liquid. Red drum without liquid is CCA (OME or for that matter). Short courses of antibiotics (total) is often sufficient for acute otitis media in healthy children after the second birth. Antibiotics are not useful for initial treatment of OME, although they may be worth a try if OME lasts for longer than 3 months. OME is important that it reduces the hearing, if present, but antibiotics are not a solution. Continued fluid in the ear for an ear check found after acute otitis media should be expected and does not require another round of antibiotics, except for less common situation where the signs of acute infection is still present. Preventive antibiotics should be given only after three or more separate cases documented CCA by 6 months, four or more within 12 months. .