Antibiotics for Ear Infections?


Updated:
2/10/99

By: Dr. Weed
A Better Way Newsletter

In the July 12, 1997 issue of the BRITISH MEDICAL JOURNAL (BMJ 315(7100):98-102), a group of eight researchers from Britain, the Netherlands and the United States reported the results of their review of the scientific literature on the use of antimicrobial drugs (antibiotics) for the treatment of otitis media (middle ear infections.) The study was funded by the Agency for Health Care Policy and Research (AHCPR) of the U.S. Department of Health and Human Services.

This important paper compared the limited use of antibiotics for acute ear infections as practiced in the Netherlands and Iceland, with the abundant use of antibiotics as routinely prescribed in the U.S. and Britain. Otitis media is the most common reason for outpatient antibiotic use in the U.S. with approximately 30 percent of children under age three receiving such treatment for earache each year. The Netherlands, on the other hand, does not include antibiotic use in their initial routine treatment of otitis media.

The authors note that the policy of the Netherlands and Iceland is associated with a "decreased emergence of resistance among organisms commonly found in otitis media" among their children. In other words, there are fewer antibiotic-resistant microorganisms, or "super germs" as they are commonly called, in these countries as compared to the U.S. and Britain. This conclusion will not come as a surprise to scientists, but as the paper continues, some findings are revealed that are even more astonishing. The authors continue by addressing some very important questions about antibiotic use for otitis media:

Does Antibiotic Treatment Improve Outcome for Otitis Media?

"[W]e conclude that the benefit of routine antimicrobial use for otitis media, judged by either short or long-term outcomes, is unproved."

Does Antibiotic Treatment Prevent Complications?

"Although preventing mastoiditis and meningitis is a rationale for antimicrobial treatment, little evidence exists that routine treatment is effective for this purpose."

Do Children at High Risk Benefit from Antibiotics?

"No study has addressed whether antimicrobial treatment decreases the frequency of these in all or some of those known risk factors."

What is the Optimal Type and Duration of Administration of the drugs?

"In the nine country study, antimicrobials did not improve outcome at two months, and no differences in rates of recovery were found for either antimicrobial type or duration."

In conclusion, the authors state, "we conclude that existing research offers no compelling evidence that children with acute otitis media routinely given antimicrobials have a shorter duration of symptoms, fewer recurrences, or better long-term outcomes than those who do not receive them."

Wow! It's hard to believe that for decades these drugs have been poured down our children without research to support their use! But what harm, other than the obvious financial one, has this indiscriminate use of antibiotics caused?

In the initial paragraph of the same paper, the authors quote an article that appeared in SCIENCE (1992:257;1036-8) entitled, "The crises of antibiotic resistance":

"Increasing worldwide resistance of bacteria to antimicrobial drugs is causing a crises manifested by higher morbidity, mortality and costs."


The Immune System

Considering the BMJ article reported above, and with the cold and flu season just around the corner, I thought it appropriate to devote the remainder of this newsletter to the Immune System.

After its discovery in the early part of the 20th century, penicillin was hailed as a "miracle drug." Today, as a consequence of its overuse and the resulting emergence of antibiotic-resistant germs, penicillin is practically powerless against germs. Medical scientists have therefore felt it necessary to develop stronger and stronger antibiotics, which has led to a "crisis" situation, as many concerned scientists are calling it.

In our awe of "miracle drugs," many of us have forgotten about the real miracles that take place in our bodies every day. These include our "natural antibiotics," the white blood cells that forge on each day--silently and tirelessly killing and consuming viruses, bacteria, and cancer cells that have invaded our bodies.

Consistent with the new health care paradigm, which is emerging today at the grass roots level, many people are taking another look at traditional and natural ways of combating disease. Herbal nutrition for the immune system is certainly gaining popularity as a valid alternative.

Many nutritional and dietary factors, including antioxidants, have been shown to improve the performance of the immune system-- naturally and without undesirable side-effects. Perhaps the next time we "catch" a cold or flu, instead of running to our doctor demanding antibiotics, (which are useless against viruses anyway), or to our pharmacies for symptom-relieving drugs, (which do nothing to decrease the duration of the illness); we should consider nutritionally supporting our immune system. Our body's natural defense will be better equipped to fight off the illness like it is supposed to. Not only will we have fewer undesirable side-effects from drugs, but our bodies will become stronger in the long run, making it less likely that we will have a relapse.

A good diet with plenty of fruits and vegetables is vital for the optimal functioning the immune system. These supply important vitamins, minerals and antioxidants which the immune system needs to perform its job. In addition to these, many herbs have been scientifically shown to help strengthen the immune system. Here are just a few:

Garlic

The dietary virtues of garlic are well-known the world over. Garlic has served man from the earliest times. The only problem with getting garlic into the diet has always been the distinct odor it leaves on the breath. Recent technological breakthroughs have made it possible to manufacture "odorless garlic." The question is, does it retain the potency of fresh garlic? Studies have shown that odorless garlic does not have the same health benefits as real garlic.

Nature's Sunshine Products (NSP) offers the most potent garlic on the market today with a special coating that controls the garlic's odor. When broken open, these tablets have a strong garlic odor--unlike the odorless garlic products. Careful preparation of each tablet gives NSP's high-potency garlic a chlorophyll coating, which controls odor while assuring a long shelf-life. Because the tablet's coating does not break down until it reaches the small intestine where absorption takes place, you receive the full nutritional value of garlic without the undesirable taste. Moreover, comparing total allicin potential (TAP), Nature's Sunshine's garlic is far more potent than any of the top-selling brands.

Echinacea

For years echinacea has been one of the most scientifically studied herbs, especially in Europe. A study that appeared in the JOURNAL OF MEDICAL CHEMISTRY showed that an echinacea extract inhibited tumor growth in rats. Echinacea has also been used to help restore normal immune function in patients receiving chemotherapy. It has been shown to increase white blood cell activity--important for immune response. Herbalists have used echinacea for years to support the immune system, especially during the cold and flu season. There are several species of echinacea, all of which have benefit for the immune system. Many herbalists believe that the best supplements contain a combination of two or more species.

Golden Seal Root

Golden Seal (Hydrastis canadensis) is a native North American herb that grows in the Appalachian Mountains and surrounding areas. The Cherokee Indians valued the root for health purposes and also for the yellow dye it produced. Once widely available in the wild, the plant has been over-harvested for years and is now mostly available through commercial cultivation. Its properties are mostly due to its alkaloids, which include berberine, hydrastine and canadine. Because demand for the herb is high and supplies are low, golden seal is one of the most expensive herbs on the market, and also one of the most counterfeited. Many herb suppliers are tempted to adulterate supplies of golden seal with other herbs of similar chemical composition, such as Oregon grape. However, only golden seal contains the important alkaloid hydrastine. It is important to buy golden seal root from a reputable company that has the technology and expertise needed to test it for hydrastine content--thus ensuring a pure, unadulterated herb.

For Children

The above three herbs are usually sold in encapsulated or tableted form. For children who can not yet swallow capsules or tablets, a liquid herbal extract in a glycerin, as opposed to alcohol, base is often the most beneficial way to supplement. Echinacea/Golden Seal Liquid Herb by NSP is a product that includes two species of echinacea--Echinacea purpurea and Echinacea angustifolia. In addition, NSP uses only the roots of these botanicals. The roots contain greater amounts of the beneficial components. Each 5 ml serving provides 125 mg of the echinacea combination and 125 mg of golden seal root--a powerful combination to support the immune system and to help the body maintain health. This comes in a glycerin base and is appropriate for use by both adults and children.

Conclusion

Antibiotics certainly have a place in today's medical armamentarium. When an infection has overcome the body's ability to fight back, they can even save a life. But by using them only when necessary, we can help insure that they will work for us when we really need them. When we have a cold, flu or some other self-limiting illness, it makes much more sense to support our immune system letting the body's natural defenses take care of the illness like nature intended.


Please send E-mail to: drweed@a-better-way.com if you have any questions to check out Dr. Weed's website at http://a-better-way.com. For other questions, send e-mail to Joyful Living Services at joyful@best.com