June 2011 Moms

Ear infections: tubes?

DS is on his second ear infection. He had one at 3 months, and now this one. DH wants to get a referral to an ENT, but I think it's too early. The first one responded to Augmentin. This one - tried Omnicef, but he also had bronchitis and an eye infection. It cleared the wheezing but not the ears/eyes, so we're back on Augmentin (starting today).

Is there a guideline to the number of infections before tube talk?

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Re: Ear infections: tubes?

  • I don't know if there's a set guideline but 2 ear infections seems way too soon to me. The kids I knew with tubes when I was growing up had them CONSTANTLY, not just a couple times.
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  • DS #1 had 2 sets of tubes starting at 15 mths, they helped but didn't take care of the problem totally.  He had infections ALL the time from 6 months on.  It finally cleared when he turned 4. 

    Now DS #2 has started the same pattern, only he started at 4 mths.  We started with amoxicillin, they cleared, but fluid still there, put on a preventative amox since he was still having a runny nose, ears infected anyway.  Then we tried Augmentin, he was allergic.  So we went to Zithromax.  He is on the second round of that now because the fluid will not go AWAY!!!!!!  My pedi is talking about tubes, but says that the ear canals are too small yet to even try.  The tubes will just get clogged with ear wax, and wont work anyway.  So......we wait.

  • To early. I believe it is more than 6 in 6 months or an infection that does not respond to treatment for more than 6 weeks. My bosses son just had tubes about a month ago.

    2 infections is way to soon IMHO.

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  • I don't know but that seems crazy. If he does end up with tubes be careful with how many he has. I had 3 sets and am fine but DH had 8 sets and they ruined his eardrums and had to have both eardrums rebuilt and he still has crappy hearing.
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  • We are on ear infection #4 or #5 (hard to remember because sometimes they run together). He's been on medication for nearly half his short life. Just this week, we were told that he's going to need tubes soon. We are going to a follow up appt this week and we'll discuss an ENT referral. I asked about protocol, and was told it's 6 infections. However, in our case, DS is allergic to amoxicillin and augmentin so our treatment options are greatly impacted.
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