Ear Infections in Children: Types, Treatment & Prevention

By Dashvanth Healthcare Medical Team · Reviewed by our specialists · East Delhi

Types of Ear Infections in Children

Acute Otitis Media (AOM)

Middle ear infection — the most common childhood bacterial infection. Peaks at 6–18 months. Bacteria (Streptococcus pneumoniae, H. influenzae) infect the middle ear fluid, causing rapid-onset ear pain, fever, and fussiness.

Otitis Media with Effusion (Glue Ear)

Fluid accumulation in the middle ear WITHOUT acute infection. Common after AOM or with enlarged adenoids. Often causes mild hearing loss — may affect speech development if persistent. Often resolves spontaneously in 3 months.

Otitis Externa (Swimmer's Ear)

Infection of the ear canal skin — caused by water trapping (swimming pools) and Pseudomonas. Painful ear (especially on tugging), discharge, itching. Treated with antibiotic ear drops.

Recognising Ear Infection in Infants

• Unexplained fever
• Tugging or pulling at ear
• Crying more than usual, especially when lying down
• Trouble sleeping
• Difficulty hearing (does not respond to sounds)
• Fluid draining from ear (if eardrum has perforated)

Treatment

• Pain relief: paracetamol or ibuprofen
• Antibiotics: amoxicillin 7–10 days (for children under 2, or severe symptoms; watchful waiting acceptable for older mild cases)
• Glue ear: decongestants not effective; consider ENT referral for grommets if hearing loss persists 3+ months