Acute Otitis Externa (OE)

Acute Otitis Externa

CKS OE

First use analgesia.

Cure rates similar at 7 days for topical acetic acid or antibiotic +/- steroid. If cellulitis/disease extending outside ear canal, start oral antibiotics & refer to exclude malignant OE.

First Line: acetic acid 2%

1 spray TDS

7 days

Second Line: neomycin sulphate with corticosteroid

3 drops TDS

7 days min to 14 days max