Chronic Suppurative Otitis Media
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Presentation
- Otorrhoea for more than 14 days, hearing loss, usually no otalgia
- Otoscopy - mucopurulent discharge, ossicular chain erosion, Hearing loss
- Organisms- Staphylococcus aureus, Proteus spp, Klebsiella, Enterobacteriacie
Treatment
Ear syringing with saline or acidifying agent such as 1% boric acid, acetic acid and continued aural toilet
If ear is clear of discharge prescribe the following:
| Medicine | Adult Dose | Frequency | Duration |
| ciprofloxacin ear drops | 3 drops | twice daily | 7 days |
| amoxicillin po | 500mg | 3 times a day | 7 days |
- Keep ears dry
- Avoid swimming
- Refer immediately to Ear Nose throat surgeon