Mastoiditis primary prevention
Preventing mastoiditis primarily involves preventing development of otitis media and nasopharyngitis. This is achieved by administration of the pneumococcal and influenza vaccines, frequent washing of hands, and avoiding fluid transmission and respiratory droplets from nasopharyngitis patients. Preventing exposure to air pollution and potential middle ear irritants, such as secondhand smoke, helps prevent otitis media. For infants, preventive measures include avoiding pacifiers, avoiding daycare enrollment, and breastfeeding until at least 6 months of age. A prophylactic regimen of antibiotics can prevent otitis media in at-risk infants and children.
- Administer the following vaccinations:
- Wash hands frequently
- Avoid coughing and respiratory droplets from patients with respiratory illness and nasopharyngitis.
- Avoid first or secondhand smoke or other air pollutants with potential for middle ear irritation.
- Avoid use of pacifiers in infants.
- Avoid enrollment in daycare centers.
- Breastfeed infants until at least 6 months of age
- Preferred regimen (1): Amoxicillin 20 mg/kg po once daily.
- Preferred regimen (2): Sulfisoxazole 50 mg/kg po at bedtime.
- Alternative Regimen (1): TMP-SMX 4 mg-20 mg/kg once daily.
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- Leach AJ, Morris PS (2006). "Antibiotics for the prevention of acute and chronic suppurative otitis media in children". Cochrane Database Syst Rev (4): CD004401. doi:10.1002/14651858.CD004401.pub2. PMID 17054203.