Homework Essay Example | Topics and Well Written Essays - 500 words - 29

Homework - Essay Example The affected age group being mostly children, the analysis is that OM generates indirect costs owing to lost time from school and work creating a significant social burden. A good nurse protocol for otitis media in children aged six to twelve years old should clearly define OM; identify its natural history without antibacterial treatment, measure relative effectiveness of these antibacterial regimens in prevention of clinical failure (Forgie and Zhanel et al., 2009, p. 457). Otitis media is the presence of purulent fluid inside the middle ear, which is associated with symptoms and signs of systemic or acute local illness. It is most prevalent during winter months in children especially six to seven years old and below. Otitis media is commonly seen after a viral infection of the upper respiratory tract. It has been especially noted to result from dysfunction of the Eustachian tube preventing the effective drainage of middle ear fluid. The clinician or nurse should be aware that the client has an antecedent event, either an allergy or infection that results in congestion and edema of the mucosa of the middle ear, Eustachian tube, as well as the nasopharynx. Flow of the middle ear secretions is impeded following the Eustachian tubes congestion. This often increases negative pressure further causing fluid to be pulled into the middle ear. Increase in middle ear secretions causes growth of microbial pathogens resulting in otitis media. Treatment protocol in diagnosis and prescription establishes common pathogens as Streptococcus pyrogenes, Streptococcus pneumoniae, Haemophilus influenzae, Staphylococcus aureus, Moraxella catarrhalis, as well as viral infection. Recent studies show that in 6 – 12 year olds infections have increased because of organisms that produce beta-lactamase and bacterial resistance to drugs (Barnett and Klein,