Ear infections

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Acute otitis media (AOM) is a common ear infection, especially in children, that can cause discomfort but is usually manageable with appropriate care. For children aged 1 to 17 years, the Pharmacy First service under NHS care provides quicker access to advice and treatment for acute otitis media without the need to visit a GP. This service is designed to ensure faster relief and effective care for eligible patients.

What Is Acute Otitis Media?

Acute otitis media is an infection of the middle ear, often caused by a virus or bacteria, and is common in young children. Symptoms may include:

• Ear pain: This is the most common symptom.
• Fever: Mild to moderate fever can occur in some cases.
• Hearing loss: Temporary reduction in hearing due to fluid in the middle ear.
• Irritability or restlessness: Particularly in younger children.
• Fluid discharge from the ear: In cases where the eardrum has ruptured.

Most cases resolve on their own within a few days, but symptoms can sometimes require management to relieve discomfort and prevent complications.

How the Pharmacy First Service Works

1. Initial Consultation:

   • Visit your local pharmacy and describe your child’s symptoms.
   • The pharmacist will ask about the duration and severity of the symptoms and check for signs of complications.

2. Assessment and Treatment:

   • For mild cases, the pharmacist may recommend over-the-counter pain relief, such as paracetamol or ibuprofen, to manage pain and fever.
   • They will advise on whether symptoms should be monitored at home or if further medical attention is needed.

3. Self-Care Advice:

   • Keep your child hydrated and encourage rest.
   • Apply a warm cloth to the affected ear to ease discomfort.
   • Avoid using cotton swabs or inserting anything into the ear.

Benefits of Using Pharmacy First

• Faster Access to Care: No need to wait for a GP appointment.
• Convenience: Many pharmacies are open during evenings and weekends.
• Expertise: Pharmacists are trained to manage minor conditions and can escalate care if necessary.

When to Seek Further Medical Attention

You should consult your GP or seek urgent care if:

• Symptoms do not improve within 3 days or worsen.
• Your child has severe symptoms, such as:
  • Persistent high fever.
  • Significant swelling around the ear.
  • Ongoing ear discharge or signs of a ruptured eardrum.
• Your child experiences frequent ear infections.

Preventing Ear Infections

• Avoid exposure to cigarette smoke, as it can increase the risk of infections.
• Encourage regular handwashing to prevent respiratory infections that can lead to otitis media.
• Ensure your child is up to date with vaccinations, including the flu vaccine.

Key Takeaways

If your child aged 1 to 17 years has symptoms of acute otitis media, the NHS Pharmacy First service can provide quick and effective advice and treatment. Prompt care can ease discomfort and prevent complications. Visit your local pharmacy for expert assessment and support tailored to your child’s needs.