Template:Otitis Externa Antibiotics: Difference between revisions
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# | #[[Ofloxacin]] (Floxin otic): 5 drops in affected ear BID x 7 days<ref name="CPGENT2014">Clinical Practice Guideline: Acute Otitis Externa Executive Summary. Otolaryngology -- Head and Neck Surgery 2014 150: 161 DOI: 10.1177/0194599813517659 [http://www.aepap.org/sites/default/files/otitis_externa_guia2014-rosenfeld-161-8_0.pdf PDF]</ref> | ||
#*Safe with perforations | #*Safe with perforations | ||
# | #[[Ciprofloxacin|Ciprofloxacin-hydrocortisone]] (Cipro HC): 3 drops in affected ear BID x 7 days | ||
#*Contains hydrocortisone to promote faster healing | #*Contains hydrocortisone to promote faster healing | ||
#*Not | #*Not recommended for perforation since non-sterile preparation | ||
# | #[[Ciprofloxacin|Ciprofloxacin-dexamthasone]] (Ciprodex): 4 drops in affected ear BID x 7 days | ||
#*Similar to Cipro HC but | #*Similar to Cipro HC but safe for perforations | ||
# | #*Often more expensive | ||
#[[Cortisporin otic]] (neomycin/polymixin B/hydrocortisone): 4 drops in ear TID-QID x 7days | |||
#*Use '''suspension''' (NOT solution) if | #*Use '''suspension''' (NOT solution) if possibility of perforation | ||
#*Animal studies suggest possible toxicity from the neomycin although rigorous data is lacking<ref>Wright, C. et al. Ototoxicity of neomycin and polymyxin B following middle ear application in the chinchilla and baboon. Am J Otol. 1987 Nov;8(6):495-9.</ref> | #*Animal studies suggest possible toxicity from the neomycin although rigorous data is lacking<ref>Wright, C. et al. Ototoxicity of neomycin and polymyxin B following middle ear application in the chinchilla and baboon. Am J Otol. 1987 Nov;8(6):495-9.</ref> | ||
Revision as of 17:18, 17 October 2021
- Ofloxacin (Floxin otic): 5 drops in affected ear BID x 7 days[1]
- Safe with perforations
- Ciprofloxacin-hydrocortisone (Cipro HC): 3 drops in affected ear BID x 7 days
- Contains hydrocortisone to promote faster healing
- Not recommended for perforation since non-sterile preparation
- Ciprofloxacin-dexamthasone (Ciprodex): 4 drops in affected ear BID x 7 days
- Similar to Cipro HC but safe for perforations
- Often more expensive
- Cortisporin otic (neomycin/polymixin B/hydrocortisone): 4 drops in ear TID-QID x 7days
- Use suspension (NOT solution) if possibility of perforation
- Animal studies suggest possible toxicity from the neomycin although rigorous data is lacking[2]
- ↑ Clinical Practice Guideline: Acute Otitis Externa Executive Summary. Otolaryngology -- Head and Neck Surgery 2014 150: 161 DOI: 10.1177/0194599813517659 PDF
- ↑ Wright, C. et al. Ototoxicity of neomycin and polymyxin B following middle ear application in the chinchilla and baboon. Am J Otol. 1987 Nov;8(6):495-9.