What is Acute Suppurative Otitis Media?

Acute Suppurative Otitis Media

Acute suppurative otitis media is caused by bacterial infections, with common pathogens including Streptococcus pneumoniae, Haemophilus influenzae, among others. Patients often present with severe ear pain, hearing loss, and other symptoms.

Etiology:

It is primarily caused by dysfunction of the eustachian tube. For instance, poor drainage of secretions due to nasal diseases or adenoid hypertrophy can easily trigger this condition.

Symptoms:

The main clinical manifestations include ear pain and discharge of pus, which may be accompanied by ipsilateral headache worsening upon neck movement. Additionally, symptoms such as fever, fatigue, anorexia, and vomiting may occur. Infants and young children may experience disturbed sleep due to incessant crying. Upon examination, pus can be seen draining from the external auditory canal, accompanied by redness and swelling. The tympanic membrane appears hyperemic and tense, and severe cases may exhibit perforation.

Treatment:

Antibiotic therapy is recommended for anti-infective treatment, following medical advice. Commonly used medications include cefixime capsules and amoxicillin clavulanate potassium tablets. In severe cases, intravenous administration of sodium penicillin or levofloxacin hydrochloride and sodium chloride injection may be necessary to control the inflammatory response. Concurrent local medication can alleviate discomfort, such as phenol glycerin ear drops and hydrogen peroxide for cleaning the affected area.

Precautions:

Maintain good daily habits by avoiding frequently cleaning earwax with fingers to prevent damage and infection. A diet focused on light, easily digestible foods, fresh fruits, and vegetables, with limited spicy and stimulating foods, is beneficial for recovery.