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We're recommending you treat the symptoms the pain and the fever."What I say to parents when I'm managing the condition is: 'If I was to treat your child there's a chance they'd get better one day sooner but the trouble is there's also a very similar chance they'll get some problem like a rash or diarrhoea'."If a discussion follows, some parents are also told there are broader benefits to limiting antibiotic use to cases that really need them.This is because overuse of antibiotics is known to lead to more bacteria becoming resistant to the drugs, making illnesses harder to treat a major public health concern worldwide.When your toddler's ear infection makes them irritable and feverish and keeps you awake at night it's perhaps understandable you might see antibiotics as a "quick fix".But concerns antibiotics might not be the most appropriate response have been enough to trigger education campaigns aimed at parents."Parents should not be concerned if the doctor does not prescribe antibiotics or suggests they wait and see what happens before having a script dispensed," stated a 2009 press release from the NPS, a government-funded organisation that aims to help people use medicines wisely."In some cases, such as babies, antibiotics will be necessary, but most ear infections will get better without specific treatment," the release said."Pain will usually subside within one or two days, in which case antibiotics would not be needed."The advice reflects a treatment policy known as "watchful waiting", which was endorsed for selected children by the American Academy of Pediatrics in 2004 and also underlies treatment guidelines issued to Australian GPs.Requirements under the federal Clery Act provide a foundation for an institution's campus safety and security policies.The Act offers critical rights and options to survivors of sexual assault, domestic violence, dating violence, and stalking.The different perspectives may stem from what Gunasekera describes as "a disagreement in the medical fraternity"."There's a group of doctors who are pro-antibiotics," he says."And then there are others who are not so much anti-antibiotics, but [they are] quite happy to just observe first before going down the antibiotic path". Isn't it doctors who decide how to treat sick children, not their parents?Yes, but it's widely recognised parents play a significant role in influencing doctors' prescribing habits, Gunasekera says.
They focused on children aged six to 23 months and six to 35 months, respectively.
In both studies, "most children given the placebo [non-active treatment] still got better, it just took a little longer," he said.
Other experts like Boston University paediatrics professor Jerome Klein, however, have described the children who took antibiotics in the studies as "substantially improved" compared to those who did not.
Research in the past has shown the benefits of antibiotics are slightly greater in very young children, in children with infections in both ears, and in children whose eardrums have burst from the infection.
But, even then, they are still benefits Gunasekera describes as "modest".