What action should be avoided to prevent exacerbation of otitis media in children?

When considering strategies to prevent exacerbation of otitis media in children, avoiding exposure to smoke is critical. Smoking around a child is linked to higher rates of respiratory infections and has been shown to contribute to the incidence of otitis media, which is an infection of the middle ear. Children who are exposed to secondhand smoke are at greater risk, as the smoke can irritate the respiratory tract, impair mucociliary function, and increase the likelihood of fluid accumulation in the middle ear, all of which can worsen existing conditions or lead to new infections.

Engaging in outdoor play, promoting healthy eating, and pacifier use, while they may have their own considerations, are not directly associated with increasing the risk of otitis media. In fact, encouraging healthy habits can benefit overall health and potentially decrease the risk of infections, including those of the ear. Thus, limiting exposure to smoke is a significant preventative measure.