Evidence review and ENT‐UK consensus report for the use of aminoglycoside‐containing ear drops in the presence of an open middle ear

Phillips, Julie; Yung, Matthew; Burton, Martin J; Swan, I. R. C.

doi:10.1111/j.1749-4486.2007.01532.x

Cited by 49 publications

(39 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Quinolone and aminoglycoside preparations are commonly used and have similar effectiveness [15]. Aminoglycosides should only be prescribed in short courses and when there is obvious activity in mucosal COM to reduce the theoretical risk ototoxicity [16]. Quinolone preparations do not carry a risk of ototoxicity.…”

Section: Active Mucosal Diseasementioning

confidence: 99%

Chronic otitis media

Wallis

Atkinson

Coatesworth

2015

Postgraduate Medicine

View full text Add to dashboard Cite

Chronic otitis media (COM) is a common problem facing general practitioners, pediatricians and otolaryngologists. This article reviews the aetiopathogenesis, epidemiology, presentation, natural history, complications and management of COM. The literature was reviewed by using the PubMed search engine and entering a combination of terms including "COM", "diagnosis", "incidence", "complications" and "management". Relevant articles were identified and examined for content. What is the "take-home" message for the clinician? COM is a common problem with various sub-categories according to the disease state. It most commonly presents with painless otorrhoea and hearing loss. Treatment options vary according to the activity and type of disease encountered. COM carries significant patient morbidity.

show abstract

Section: Active Mucosal Diseasementioning

confidence: 99%

Chronic otitis media

Wallis

Atkinson

Coatesworth

2015

Postgraduate Medicine

View full text Add to dashboard Cite

show abstract

“…A total of 15 patients had bilateral disease, of which only five patients were prescribed separate topical antibiotic bottles for each ear. This study demonstrates the wide variation in practice in the management of otitis externa and highlights the confusion over the use of topical and oral antibiotics [4].…”

Section: Discussionmentioning

confidence: 98%

“…Furthermore, concern about ototoxicity associated with eardrops and limited availability of national guidelines in the UK have caused much confusion amongst GPs over the use of topical and oral antibiotics [4,5].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The management of otitis externa in UK general practice

Pabla

Jindal

Latif

2011

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

Acute otitis externa is common and provides a heavy workload for general practitioners. We aim to determine the first-line treatment used by general practitioners in the management of otitis externa and subsequent second-line treatment in a hospital ENT clinic. In addition, this study aims to ascertain whether local and national guidelines are being followed appropriately. A prospective observational study on the management of otitis externa in consecutive patients referred to an ENT emergency clinic was undertaken. Data were collected and analysed on symptoms, initial management by general practitioners, findings and treatment in the ENT clinic. A total of 106 patients were studied. The mean duration of symptoms before presentation to clinic was 13 days; 42% of patients received no treatment by their GP prior to referral to the ENT emergency clinic. Only 14% of patients received topical antibiotics alone, whilst 44% received oral antibiotics, either alone or in conjunction with topical antibiotics by their GP. Of the 106 patients, 86% received topical antibiotics in the ENT emergency clinic and oral antibiotics were reserved for those presenting with complicated acute otitis externa. Topical antibiotics are associated with a decrease in disease persistence, whilst oral antibiotics are associated with an increase. However, general practitioners are prescribing oral antibiotics more often than required. There are few regional guidelines and no explicit national guidelines on the management of acute otitis externa for GPs to refer to. We suggest the implementation of national guidelines to aid clinical practice.

show abstract

“…ENT-UK, the British association for otorhinolaryngologists, advise that aminoglycoside drops can be used in the presence of a perforation for a maximum of 2 weeks provided there is an obvious infection. 9 This is because pus in the middle ear is in itself ototoxic. The justification should be explained to the patient and baseline audiometry performed if practical.…”

Section: Otitis Mediamentioning

confidence: 99%