Advertisement

Acute Otitis Externa Guidelines Released — Physician’s First Watch

Medical News |
February 4, 2014

Acute Otitis Externa Guidelines Released

By Kelly Young

The American Academy of Otolaryngology — Head and Neck Surgery Foundation has released updated guidelines on diagnosing and treating acute otitis externa (AOE) in patients aged 2 years and older.

Among the recommendations:

  • Patients with diffuse AOE should be assessed for factors that modify management, such as tympanostomy tube or nonintact tympanic membrane.

  • Clinicians should use topical treatments as first-line therapy for uncomplicated AOE.

  • Initial treatment with systemic antibiotics is not recommended unless there's extension outside the ear canal or other signs that systemic therapy is needed.

  • Clinicians should instruct patients on how to apply topical treatments (the guidelines include a table of patient instructions). If the canal is obstructed, clinicians should insert a wick or perform aural toilet.

  • If the tympanic membrane is perforated, a nonototoxic topical preparation should be prescribed.

  • If patients fail to respond to initial therapy within 48 to 72 hours, they should be reassessed to rule out other potential causes of illness.

Reader Comments (1)

THOMAS FREYTAG Family Medicine/General Practice

Also I've found that after a couple days of topical treatment irrigating the ear with domsboro solution clears the ear canal of pus and dead skin so that the topical medication can better contact the external canal. If there is a perforation I use gentle suction instead

Your Comment

(will not be published)

Filtered HTML

  • Allowed HTML tags: <a> <em> <strong> <cite> <blockquote> <code> <ul> <ol> <li> <dl> <dt> <dd>
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Do you have any conflict of interest to disclose?
CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.
Image CAPTCHA
Enter the characters shown in the image.

Vertical Tabs

* Required

Reader comments are intended to encourage lively discussion of clinical topics with your peers in the medical community. We ask that you keep your remarks to a reasonable length, and we reserve the right to withhold publication of remarks that do not meet this standard.

PRIVACY: We will not use your email address, submitted for a comment, for any other purpose nor sell, rent, or share your e-mail address with any third parties. Please see our Privacy Policy.

Advertisement
Advertisement
Advertisement