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Otitis externa - Management
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How should I treat localized otitis externa?
- Treat pain with an analgesic and the application of local heat (e.g. a warm flannel).
- Treat infection with an oral antibiotic ONLY if there is severe infection, or the person is at high risk of severe infection, (e.g. they have poorly-controlled diabetes, or compromised immunity).
- Drain pus if it has collected and is causing severe pain and swelling.
- Advise on ear care and hygiene.
In depth
What follow up is recommended for localized otitis externa?
- No follow up is necessary for most cases of acute localized otitis externa as they are mild and self limiting.
- Consider follow up if an antibiotic has been prescribed, or if there are risk factors such as insulin-dependent diabetes or compromised immunity.
In depth
When should I refer or seek specialist advice for someone with localized otitis externa?
- Consider referral to secondary care:
- If relief of pain and swelling requires incision and drainage of the furuncle, and the resources and skills are not available in primary care.
- If there is inadequate response to oral antibiotic treatment.
- If cellulitis is spreading outside the auditory canal.
In depth
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