Most children will get an ear infection at some point during their childhood.

Types of Bacterial Ear Infections

Different types of ear infections present with different symptoms.

Healthcare providers use the AAP guidelines to help determine when antibiotics are appropriate.

Male doctor with otoscope examining ear of smiling girl patient in clinic exam room - stock photo

Hero Images / Getty Images

A bacterial ear infection is diagnosed through a physical examination and by logging symptoms.

This is used to see how well the eardrum moves in response to sound.

Symptoms

Classic symptoms of an ear infection often begin after a cold.

Doctor Discussion Guide Child

Get our printable guide for your next doctor’s appointment to help you ask the right questions.

Are antibiotic prescriptions declining?

Antibiotics should only be used to treat bacterial illnesses.

Sometimes antibiotics have side effects that can make a person more ill than they were initially.

Common side effects include rash, dizziness, yeast infections, nausea, and diarrhea.

Get our printable guide for your next doctor’s appointment to help you ask the right questions.

Pediatricians handle this scenario in different ways.

Older kids may do well with just five to seven days of antibiotics.

These tubes fall out as the eardrum heals and need not be removed.

While this procedure (called amyringotomy) is more common in children, it is also performed in adults.

The 2013 AAP guidelines help healthcare providers to know when antibiotics are an appropriate treatment for ear infections.

Over-prescribing antibiotics can lead to bacteria resistant to antibiotics and unnecessary, or dangerous, side effects.

National Institute on Deafness and Other Communication Disorders.Ear infections in children.

Institute for Quality and Efficiency in Health Care (IQWiG); 2022.

Penn Medicine.Ear infection (middle ear).

Lieberthal AS, Carroll AE, Chonmaitree T, et al.The diagnosis and management of acute otitis media.Pediatrics.

2013;131(3):e964-e999.

doi:10.1542/peds.2012-3488

Duke Health.Why antibiotics arent always the answer.

Centers for Disease Control and Prevention.Be antibiotics aware: Social media.

2016;95(6):e2695.

doi:10.1097/MD.0000000000002695

Nemours KidsHealth.Ear tube surgery.