|Treating Measles in Children (Document & Slides) (WHO - OMS, 1997, 60 p.)|
|Part 4. TREATING COMPLICATIONS|
MANAGEMENT OF EAR PROBLEMS
Acute ear infection - fever and earache or ear
Give an antibiotic for acute ear infection
There are three complications of measles related to the ear:
· Acute ear infection (acute otitis media) - fever, earache, discharge from the ear for less than 14 days or a red bulging drum on examination of the ear.
· Chronic ear infection (chronic otitis media) - pus discharging from the ear for 14 days or more.
· Mastoiditis - fever and a painful swelling of the bone behind the ear.
For acute ear infection give an antibiotic (cotrimoxazole or ampicillin) for 7 days (see Annex C for dosage) and if there is a discharge, clean the affected ear(s) at least twice a day with cotton wool or a wick of clean cloth. For chronic ear infection, only dry the ear(s) with a clean cloth. Children with mastoiditis must be referred to hospital immediately.