Treating Measles in Children (Document & Slides) (WHO - OMS, 1997, 60 p.): Part 4. TREATING COMPLICATIONS: 25. Complicated measles - outpatient care 3

DETACH

HIGHLIGHTING

Treating Measles in Children (Document & Slides) (WHO - OMS, 1997, 60 p.)

Part 4. TREATING COMPLICATIONS

		18. Where to manage cases
		19. General management principles
		20. Severe complicated measles - hospital care 1 - reasons for admission
		21. Severe complicated measles - hospital care 2 - management issues
		22. Severe complicated measles - hospital care 3 - isolation of children
		23. Complicated measles - outpatient care 1 - pneumonia
		24. Complicated measles - outpatient care 2 - croup
		25. Complicated measles - outpatient care 3 - ear problems
		26. Complicated measles - outpatient care 4 - diarrhoea
		27. Complicated measles - outpatient care 5 - eye problems
		28. Complicated measles - outpatient care 6 - mouth ulcers
		Summary of Part 4

25. Complicated measles - outpatient care 3 - ear problems

Slide 25:

MANAGEMENT OF EAR PROBLEMS

Assessment:

Acute ear infection - fever and earache or ear discharge
Chronic ear infection - ear discharge for 14 days or more
Mastoiditis - fever, acute pain and swelling behind the ear

Treatment:

Give an antibiotic for acute ear infection
Dry wick the ear if there is ear discharge
Admit to hospital if mastoiditis is present

Assessment

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.

Treatment

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.