Hello

I had gone through your query regarding your son having down syndrome and develops repeated infections of ear.

I would like to tell you that children with down syndrome are having increased risk of otitis media due to nasopharynx, narrow oropharyngeal airway and macroglossia. These are the reasons for failure of ear surgeries in these patients.

Culture of ear pus is positive for MRSA and he is now given antibiotic according to sensitivity test. So there are fair chances of your child to get free from infection.

I hope your query is explained.

Regards.

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Hi,

Thanks for writing back.

I have understood about your doubt for eradication of infection in ear of your child. Decision of antibiotic to be use depends on the grading of sensitivity spectrum of antibiotic for that particular infection.

Your child has chronic otitis media, and I would like to tell you that for chronic infection of ear (CSOM )local application of antibiotic is preferred while on the other hand in acute infection of ear (AOM ) one like to use systemic antibiotics.

Thirdly in sensitivity spectrum if one get only two or three antibiotic which are non resistant than always some antibiotic should be kept reserve for future use.

Your child is being given gentamycin ear drop I think that is sufficient but if you want some prompt action than with consent of your treating doctor some other antibiotic or even gentamycin may be given in injectable form.

I hope above explanation answers your query.

Regards,

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Thanks for writing back

Regarding your query I would like to tell you that it is a problematic infection and difficult to treat. In such case a follow up is necessary and thorough. Depending on the spread of the infection mode of treatment is decided. I do not think it is easy to answer without knowing the extent of spread whether topical ear drops would help or not. So please remain in touch of your treating doctor he will certainly care for spread.

Regards.

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