Please enable JavaScript.
Coggle requires JavaScript to display documents.
Otitis externa (Epidemiology (Common, Commonest in children, Peaks 7-12y,…
Otitis externa
-
Aetiology
Trauma
Cotton buds
Fingernails
FBs e.g. hearing aids, plugs
-
-
-
Infection
Bacterial (commonest): s aureus, pseudomonas
Fungal: aspergillus, candida
-
-
Diagnosis
-
-
History
-
-
POH
Bloods, scans, growth, gestation,
delivery, weight, complications
-
PC/HPC
Otalgia, scanty discharge, itchy,
tender, pain on jaw movement
SH
Living arrangements,
school/nursery, leisure (e.g. swimming)
Classification
Moderate
Otalgia, creamy discharge,
reduced EAM diameter
-
Mild
Scaly skin, erythema,
normal EAM diameter
Management
Conservative
Information, advice, support
Self care (keep free from water, avoid irritants)
Ear cleaning (gentle syringing/irrigation, dry mopping, microsuction, ear wick [complete occlusion])
FU if abx used or high risk
Medical
Abx
Indication: diffuse OE; severe infection; complications
E.g. topical otosporin or ciprofloxacin;
PO flucloxacillin (clarithromycin if pen allergic)
CI: topicals with aminoglycosides CI if perforation (ototoxic)
SEs: skin rash, fungal superinfection
Analgesia
Indication: pain
E.g. paracetamol, ibuprofen
-
-
-
-
Complications
Persistent OE
DM, immunocompromised
Lead to malignant OE
-
-
-
-
-
