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Recurrent ear infections and daycare

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Tammy's nine-month old daughter frequently gets ear infections and the last three occurred in one month. Her doctor advised Tammy to take her daughter out of daycare, where currently she is only there about four hours a week. "I work part-time and need someone to take care of my daughter until my husband gets home," says Tammy. "Is it true that recurrent ear infections may be caused by daycare?" Let's look at the causes of ear infections and see if Tammy should find a non-daycare setting for her daughter.

Mother looking into baby's ear

What is an ear infection?

Otitis media, commonly called a middle ear infection, is an inflammation of your child's inner ear canal . Ear infections most commonly occur when children are between the ages of 6 months to 2 years.

What causes ear infections?

The middle ear is drained by a small tube into the nose. This tube is more likely to become stopped up in children because it is more horizontal , which may lead to an infection. Colds and occasionally allergies may "stop up the drain" even more, and ear infections commonly follow colds. Other factors that seem to cause an increase in ear infections include exposure to cigarette smoke, lack of breastfeeding, use of pacifiers, a history of ear infections in parents or siblings, and, of course, the usual suspect -- daycare.

Daycare and children's health

Children in daycare tend to have more infections of any kind in general, simply because most infections and viruses are spread most easily at this age. Toddlers and infants are touching and handling everything and placing fingers in their mouths, and even with the best hand-washing techniques it is hard to control the spread of infections.

It is hard to predict what effect taking a child out of daycare will have on her getting ear infections. It may help tremendously. On the other hand, if a child is genetically prone to ear infections or continues to be exposed to smoke, for instance, she may continue to get ear infections even when she is removed from daycare.

Talk to your child's pediatrician

Many working parents like Tammy do not have a choice as to whether or not they send their child to daycare. If your child is in daycare and experiencing recurrent ear infections, the decision to withdraw her from this childcare arrangement should be a thoughtful one involving a discussion with your child's pediatrician.

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