Otitis externa medical therapy

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Otitis externa Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamed Moubarak, M.D. [2]

Overview

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


Medical Therapy

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 specific host factors that would indicate a need for systemic therapy:

  • 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:

References