<s>[INST] What is the treatment for ear infections in older children?  [/INST] Treatment of an ear infection often starts with antibiotics geared toward the common organisms associated with ear infections. Some milder cases may not require an antibiotic, as the infection may resolve over several days. 

Pain management is appropriate given the discomfort associated with ear infections. If a child has multiple ear infections (three in six months, or four in one year as long as there was one in the past month), then they may be a candidate for ear tubes (tympanostomy tubes). A pediatric ear, nose and throat specialist can help families determine if this is right for a young patient.

When a child has otitis media with effusion (or fluid stuck behind the middle ear), it is often initially observed. If the fluid persists for over three months, and there are concerns for hearing or speech, then ear tubes may be suggested. Source: LURIE CHILDRENS.ORG. Link: https://www.luriechildrens.org/en/blog/ear-infections-in-older-children-faq/. Field: Otolaryngology. Disease: Ear Infection </s>