Otitis externa medical therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Management of otitis externa includes both cleaning the external canal and treating the infection.

Antibiotic Therapy

Acute Otitis Externa

Systemic antimicrobials should not be administered for diffuse, uncomplicated AOE unless there is extension outside the ear canal or the presence of the following host factors that would indicate a need for systemic therapy:^[1]

Diabetes
HIV infection or AIDS
Other immunocompromised states, such as patients with malignancies receiving chemotherapy
History of radiotherapy
Presence of tympanostomy tubes or perforated tympanic membrane (nonintact tympanic membrane)

Malignant Otitis Externa

Fungal Otitis Externa

Chronic Otitis Externa

Pain Management

Pain associated with AOE can be intense and severe requiring administration of analgesic agents.

Contraindicated medications

Viral otitis externa is considered an absolute contraindication to the use of the following medications:

Ciprofloxacin and dexamethasone otic suspension

References

↑ Rosenfeld, Richard M.; Schwartz, Seth R.; Cannon, C. Ron; Roland, Peter S.; Simon, Geoffrey R.; Kumar, Kaparaboyna Ashok; Huang, William W.; Haskell, Helen W.; Robertson, Peter J. (2014-02). "Clinical practice guideline: acute otitis externa". Otolaryngology--Head and Neck Surgery: Official Journal of American Academy of Otolaryngology-Head and Neck Surgery. 150 (1 Suppl): –1-S24. doi:10.1177/0194599813517083. ISSN 1097-6817. PMID 24491310. Check date values in: |date= (help)

[1] Rosenfeld, Richard M.; Schwartz, Seth R.; Cannon, C. Ron; Roland, Peter S.; Simon, Geoffrey R.; Kumar, Kaparaboyna Ashok; Huang, William W.; Haskell, Helen W.; Robertson, Peter J. (2014-02). "Clinical practice guideline: acute otitis externa". Otolaryngology--Head and Neck Surgery: Official Journal of American Academy of Otolaryngology-Head and Neck Surgery. 150 (1 Suppl): –1-S24. doi:10.1177/0194599813517083. ISSN 1097-6817. PMID 24491310. Check date values in: |date= (help)

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