Acute Otitis Externa (OE)
Acute Otitis Externa
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.
If cellulitis or disease extends outside ear canal, start flucloxacillin and refer to exclude malignant otitis externa
First Line: acetic acid 2%
1 spray TDS
Second Line: neomycin sulphate with corticosteroid
(If sensitivities suggest ciprofloxacin – topical use should be used where possible – eye drops can be used in ears (unlicensed route))
3 drops TDS
7 days min to 14 days max