When administering ear drops to a child 3 years of age and younger, pull the pinna. In children older than 3 years of age, pull the pinna. Ear drops should be administered at to avoid stimulation of vertigo.
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This helps to create a straight path for the ear drops to travel into the ear canal. Show more…
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Many children have tympanostomy tubes surgically inserted in their ears to reduce hearing loss associated with persistent otitis media and prevent recurrences of episodes of otitis media after tubes are inserted. However, acute otorrhea (a discharge from the external ear indicating inflammation of the external or middle ear), where middle ear fluid drains through the tube, is a common side effect with tympanostomy tubes. A clinical trial was conducted (Van Dongen et al. [10]) among children 1–10 years of age with prior symptoms of otorrhea comparing efficacy of (i) antibiotic eardrops, (ii) oral antibiotics, and (iii) observation without treatment, referred to below as observation. Children were seen at home by study physicians at 2 weeks and 6 months after randomization. The primary outcome was the presence of otorrhea at 2 weeks observed by study physicians. The results are given in Table 10.22. TABLE 10.22 Number of children with otorrhea at 2 weeks of follow-up Group Number of children Number of children with otorrhea at 2 weeks Antibiotic ear drops 76 4 Oral antibiotics 77 34 Observation 75 41 What test can be used to compare the prevalence of otorrhea for the ear drop group vs. the observation group? State the hypotheses to be tested.
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The structure of the ear that is associated with vertigo is the
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