2017
DOI: 10.18203/issn.2454-5929.ijohns20170981
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Comparison between vinegar wash and culture based oral antibiotic therapy in active chronic suppurative otitis media

Abstract: Background: Chronic otorrhea in chronic suppurative otitis media (CSOM) has become a difficult task to treat for ENT specialists because of emerging resistance to the available antibiotics and patient's affordability for its cost. Also biofilms have been responsible for the chronicity of disease. Use of vinegar as an antiseptic and altering the pH of middle ear to treat otorrhea in CSOM needs to be studied. Methods: 120 patients with active CSOM were recruited randomly for either vinegar wash or antibiotic the… Show more

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“…Moreover, unrestricted use of oral, topical or parenteral antibiotics in today's modern world has led to drawbacks related to cost, adverse effects, toxic reaction, inconvenience, and most importantly, emergence of biofilms that lead to further antibiotic resistance which plays a central role in non-resolution of otorrhoea. 8…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Moreover, unrestricted use of oral, topical or parenteral antibiotics in today's modern world has led to drawbacks related to cost, adverse effects, toxic reaction, inconvenience, and most importantly, emergence of biofilms that lead to further antibiotic resistance which plays a central role in non-resolution of otorrhoea. 8…”
Section: Discussionmentioning
confidence: 99%
“…Moreover, unrestricted use of oral, topical or parenteral antibiotics in today's modern world has led to drawbacks related to cost, adverse effects, toxic reaction, inconvenience, and most importantly, emergence of biofilms that lead to further antibiotic resistance which plays a central role in non-resolution of otorrhoea. 8 Pus and debris in the ear canal are impediments to successful topical therapy. Therefore, it is imperative that debris is cleaned, often repetitively, to facilitate penetration of the desired medication to the site of infection.…”
Section: Discussionmentioning
confidence: 99%