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25 Million Ear Aches - Otitis
Media, the common ear infection, is the #1 reason parents bring their children
to their medical doctor's office, accounting for over 24.5 million visits
annually and 35% of pediatrician office visits. This common childhood ailment
resulted in 23.6 million prescriptions for antibiotics in 1992, up from 12
million in 1980. The standard treatment of otitis media has traditionally been a
10-day course of antibiotics, usually some form of penicillin. Yet recently
there has been more acknowledgment within the medical community that viruses
play a major role in the number of ear infections that children experience,
against which antibiotics are useless. Jack Froom, M.D., a professor of family
medicine at the State University of New York stated that if physicians waited a
few days before prescribing antibiotics, "it is likely that no more than 20% of
patients would get antibiotic’s. European countries use antibiotic therapy to
treat this condition much less frequently and have found that with acute otitis
media "the infection resolves on its own up to 85% of the time without
treatment," When all cases of otitis media are included (not just acute)
"physicians can be about 99% safe in not treating otitis media." Other studies
go so far as to state that antibiotic treatment is no more effective than
placebo, and increases the risks of reoccurrence.
To Treat or not to Treat? - There is a tremendous amount
of evidence supporting the "wait and see" approach to ear infections. One study
states that "the use of antibiotics as initial treatment for children with acute
otitis media benefits one out of 20 children by reducing pain in the acute
phase. There is no evident benefit for deafness, recurrent attacks or
complications.". The American Health Care Policy and Research guidelines on
otitis media go so far as to state, "The Panel identified cholesteatoma,
mastoiditis, and inner ear damage as other possible long term effects of otitis
media with effusion, but these problems apparently occur so rarely that they
were not reported in the controlled studies evaluated by the panel. Another
states, "to prevent one child from experiencing pain by 2-7 days after
presentation, 17 children must be treated with antibiotics early," and
"Antibiotics were associated with a near doubling the risk of vomiting,
diarrhea, or rashes.". One article from Medical Tribune stated that "it is
incumbent upon (clinicians) to recognize that the benefits of using antibiotics
to treat ordinary childhood ear infections, which account for 24.5 million
visits annually, are too small to justify the risks of promoting resistance. The
price is just too high."
A Moot Point? - What, then, is the driving force behind
these needless prescriptions? One article from a recent issue of Medical Tribune
states that "Until physicians are granted incentives ... to make early
diagnosis, and financially motivated to spend more time with their pediatric
patients, new guidelines will do no more than gather dust."
This Drugless System - There are plenty of studies that
demonstrate the efficacy of chiropractic adjustments when performed by a
chiropractic doctor for all sorts of ailments, including otitis media. A study
conducted on 200 chiropractors and 200 physicians to determine the health status
of their respective children found that of the children raised under the
"chiropractic model," 69.0% had never experienced an episode of otitis media,
and 49.1% had never used an antibiotic, compared to the "medical model"
counterparts who all but 19.9% had experience otitis media and all but 11.8% had
used antibiotics at one point in time. Chiropractic care, however, does not
"cure" anyone of anything. This drugless system has helped and continues to help
many patients with many types of ailments but only because the doctor of
chiropractic seeks the source of the problem - the subluxation that strangles
the necessary nerve supply - and lets the patient heal the way they were
intended. This care does not have negative side-effects, does not promote
antibiotic resistance, and keeps the patient in control of their own
well-being.
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