Otomycosis
Not yet clinically reviewed
This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.
Features
- Intense itching in ear canal with pain in ear.
- White filter paper like debris or blackish debris in ear canal.
Management
- Dry mopping of ear with sterile cotton wick.
- Kenacomb / Xecomb ear drops drops 2 drops thrice daily for 5 days.
- Tab- Brufen I Inflamatax (Ibuprofen / Flurbiprofen) 400 mg PO x TD S for 5 days.
ACUTE SUPPORTIVE OTIIS MEDIA
- Severe pain in ear, often with an upper respiratory tract infection.
- Erythema and hypomobility of tympanic membrane.
- High-grade fever with mucopurulent discharge and then relief in pain.
Management
- Dry mopping of ear with sterile cotton wick if discharge present and Keep ear dry (Keep cotton wool in ears while washing hairs)
- Tab- Arinac forte (Ibuprofen + Pseudoephedrine) PO x TDS for 3 days then SOS
- One of the following antibiotics for 5-7 days
- Tab-Amoxil (Amoxicillin) 1gm, PO x BD
- Tab-Augmentin Amoxiclave/ Amclave (Co-amoxiclav) 1gm, PO x BD.
- Tab- Zinacef Zinnat (cefuroxime) 500mg PO x BD
- Tab-Orelox (Cefpodoxime) 200mg PO x BD
- Tympanocentesis is useful for otitis media in immunocompromised patients and when infection persist or recurs despite multiple courses of antibiotics.
- Surgical drainage of the middle ear (myringotomy) is reserved for patients with severe otalgia or when complications of otitis (e.g., mastoiditis, meningitis) have occurred.