Cause
Middle ear
infections are caused by bacteria and viruses.
During a
cold, sinus, or throat infection or an allergy attack, the
eustachian tubes, which connect the middle ear to the
throat, can become blocked. This stops fluid from draining from the middle ear.
This fluid is a perfect breeding ground for bacteria or viruses to grow into an
ear infection.
- Bacterial infections.
Bacteria cause most ear infections.1 The most common
types are Streptococcus pneumoniae (also called
pneumococcus), Haemophilus influenzae, and
Moraxella catarrhalis.
- Viral
infections. Viruses can also lead to ear infections. The
respiratory syncytial virus (RSV) and
influenza (flu) virus are the most frequent types
found. These viruses account for the rise in ear infections from January to May
each year.2
Causes of fluid buildup
When swelling from an
upper respiratory infection or allergy blocks the
eustachian tube, air can't reach the middle ear. This
creates a vacuum and suction, which pulls fluid and germs from the nose and
throat into the middle ear. The swollen tube prevents this fluid from draining.
An ear infection begins when bacteria or viruses in the trapped fluid grow into
an infection.
Inflammation and fluid buildup can occur without
infection and cause a feeling of stuffiness in the ears. This is known as
otitis media with effusion.