Otitis Externa

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  • Presentations vary depending on cause
  • Itchiness of canal, ulcers on the externa auditory canal, inflamed canal, occasional discharge from canal
  • Otoscopy to assess the canal and tympanic membrane. Inflamed external ear (auricle and external auditory canal)

Bacterial otitis externa

Aural toilet with boric acid and acetic acid

  Medicine  Adult dose Frequency Duration

 

ciprofloxacin and dexamethasone ear drops

3 drops  twice daily 7 days

or

chloramphenicol and dexamethasone ear drops

3 drops twice daily 7 days

or

boric acid 1% ear drops 

3 drops twice daily  7 days

or

acetic acid ear drops

3 drops twice daily 7 days

Systemic Antibiotics are indicated for severe Otitis Externa

 

Medicine

Adult dose

Frequency

Duration

 

amoxicillin po

500mg

3 times a day

7-10 days

or

ciprofloxacin po

500mg

twice daily

7-10 days