Which ear drops are indicated in the management of acute diffuse otitis externa?

{{c1::Ciprofloxacin + Hydrocortisone ear drops OR Dexamethasone + Framycetin + Gramicidin ear drops}}

Which <u>ear drops</u> are indicated in the management of <u>acute <b>diffuse </b>otitis externa</u>?<br><br>{{c1::Ciprofloxacin + Hydrocortisone ear drops <i><u>OR</u>&nbsp;D</i>examethasone + Framycetin + Gramicidin ear drops}}

- Dry aural toilet is ear cleaning without water
- Toilet can be performed by health professional, patient or carer
- Prevent otitis externa by keeping ear canal dry
- Acute diffuse otitis externa is treated with steroid and antibiotic ear drops (not oral therapy)
- Acute localised otitis externa is treated with dicloxacillin PO or flucloxacillin PO

Acute diffuse otitis externa:


Acute localisd otitis externa:

- Dry aural toilet is ear cleaning without water<br>- Toilet can be performed by health professional, patient or carer<br>- Prevent otitis externa by keeping ear canal dry<br>-<b>&nbsp;</b><u>Acute&nbsp;<b>diffuse</b>&nbsp;otitis externa</u>&nbsp;is treated with steroid and antibiotic ear drops (not oral therapy)<br>- <u>Acute <b>localised </b>otitis externa</u> is treated with dicloxacillin PO or flucloxacillin PO<br><br><u>Acute&nbsp;<b>diffuse</b>&nbsp;otitis externa</u>:<br><img src="a77dc295aaedc4762a25d56ec3e61183.webp"><br><br><u>Acute&nbsp;<b>localisd&nbsp;</b>otitis externa</u>:<br><img src="17168f66b7e3a49f3f727880cd2551e2.webp">

<div><img src="9e3a717adf05d510aedec1c49de3bba3.webp"><br></div>

- Discharge or other debris should be removed from the ear canal by dry aural toilet, not by syringing with water
- Dry aural toilet can be performed by a healthcare professional, using mechanical suction or, under direct visualisation, cotton wool on a probe
- Dry aural toilet can be performed by the patient or carer, by dry mopping the ear with rolled tissue spears or similar, 6-hourly until the external canal is dry
- Prevention: Keep external ear canal free of water. Use earplugs, shower cap or a bathing cap during showering and swimming. Acetic acid isopropyl alcohol ear drops following exposure to water

- Discharge or other debris should be removed from the ear canal by dry aural toilet, not by syringing with water<br>- Dry aural toilet can be performed by a healthcare professional, using mechanical suction or, under direct visualisation, cotton wool on a probe<br>- Dry aural toilet can be performed by the patient or carer, by dry mopping the ear with rolled tissue spears or similar, 6-hourly until the external canal is dry<br><b>- Prevention:&nbsp;</b>Keep external ear canal free of water. Use earplugs, shower cap or a bathing cap during showering and swimming. Acetic acid isopropyl alcohol ear drops following exposure to water

eTG Complete Topic: Otitis Externa Ammended March 2021. Accessed 17/04/2023

eTG Complete Topic: <a href="https://tgldcdp-tg-org-au.eu1.proxy.openathens.net/viewTopic?etgAccess=true&amp;guidelinePage=Antibiotic&amp;topicfile=otitis-externa&amp;guidelinename=Antibiotic&amp;sectionId=toc_d1e47#toc_d1e47">Otitis Externa</a> Ammended March 2021. Accessed 17/04/2023