Pathogenic bacteria and viruses are the infectious microbes that cause most of the ear infections. It is the middle ear that gets major impact of infection as it is most sensitive part the ear. The area behind the ear drum gets filled with fluid that causes eardrum bulging. It also causes mild to severe earaches, redness, fever and in certain cases can affect the hearing ability of the person. Respiratory infections, cold and cough can generate ear infections. Ear infections majorly affect children of tender ages as their outer ear is not much developed and is prone to infections. Still, adults can also suffer due to ear diseases. An ENT specialist analyses the situation of middle ear with the help of handheld otoscope.
On the basis of history and extent of the infection, the doctor recommends certain antibiotics that work against the infection causing microbes and also work on the assimilated fluid in the ear. Here is a detailed list of the best antibiotics for ear infection:
-Compounded powders made from gold dust ie. Sulfanilamide, Hydrocortisone and Chloramphenicol are used as regional antibiotics for ear infections. Mastoid powder made from Ciprofloxacin, Chlotrimazole, Boric acid and Dexamethasone perfectly adhere to the surface for long time and act fastly on infection causing microbes.
-Tobramycin, Neomycin, Polymyxin, Chlotrimazole (Mycelex for yeast, Canada) and Mupirocin ointments are used as local antibiotics.
-Antibiotic drops made as single agent solution and compound products are recommended alongwith oral antibiotics to pour into ear to access quick relief from pus and infection.
-Antifungal medications such as Nystatin, Miconazole, Tolnaftate and Clotrimazole are recommended in outer ear infections to reduce any fungal infection.
-Neomycin and Tobramycin are two main aminoglycosides used in preparation of antibacterial medications for ear infection.
-Neomycin is approved by FDA and its acts against gram positive bacteria effectively but in proceeding years it has lost its effectiveness against gram negative bacteria .Tobramycin is not approved by FDA but is effective against gram negative bacteria and is used in USA as an antibiotic for ear infection.
-Quinilones have been recently added in effective ototopical antibiotics. FDA approved Quinolone ie. Flouroquinolone has broad spectrum activity on pseudomonas gram negative bacteria and Staphylococcus aureus gram positive bacteria. Also quinolones have less ototoxicity.
-Amoxillin, Augmentin, Ciprodex, Ofloxacin are also recommended to reduce pus cells and kill infection causing microbes.
All the medications are to be taken after the recommendation of a registered medical practitioner only. The side effects of the medications should be checked before starting the prescription.