Thursday, January 20, 2011
Life is Good...Wait and See
We took the wait and see approach with T Rex meaning no antibiotics. This was appropriate because of his age and that he was asymptomatic. However, when he developed a fever and ear pain a week later this tells us the infection has not cleared on its own.
Bebe Sister was also diagnosed with an ear infection earlier this week. Temperature of 103 with accompanying chills. All this at the tail end of the cold/virus. Clearly indicating bacteria took advantage of the situation. After 24 hours of antibiotics she was feeling 100% better. Hence, the bacteria must be sensitive to the amoxicillin she took. Therefore, when T Rex manifested symptoms this morning, we opted to start the same antibiotics obviously with different strengths.
I liked the "wait and see" approach with the ear infection. It keeps the use of antiobiotics down. Antibiotics account for more adverse drug reactions than any other drug - blood thinners and heart medications included. Additionally, one in six ER/urgent care visits are due to adverse reactions from antibiotics - usually allergy related. Plus, at least half of ear infections are viral and therefore antiobiotics will not be useful.
The "wait and see" approach is not appropriate for everyone - babies under 6 months should always be treated. If there is pain or the infection is severe - treatment should be initiated. Really, the wait and see approach is for otherwise healthy children with uncomplicated otitis media (middle ear infection).
Despite 8 straight weeks of illness and utilizing the health care system way too much lately, life is still good. Especially when I see how much love these kids have for each other.