Drugs for Ear

Question 1

Severe otitis media

Answer 1

• Augmentin, if no improvement in 2-3 days - ceftriaxone

- pcn allergy - ceftriaxone; if no improvement in 2-3 days - clindamycin

Question 2

Non-severe otitis media treatment

Answer 2

• Amoxicillin, if no improvement in 2-3 days - Aumentin
• non type 1 pcn allergy - azithromycin, ceftriaxone; if no improvement in 2-3 days - ceftriaxone
• type 1 pcn allergy - cefnidir, cefuroxime; if no improvement in 2-3 days - clindamycin

Question 3

AOE - mild treatment

Answer 3

solution of acetic acid or alcohol plus acetic acid

Question 4

moderate AOE

Answer 4

topical cipro (not ototoxic) (can be expensive)

Question 5

severe OAE

Answer 5

if infxn spreads to pinna, oral cipro for adults, keflex for children

Question 6

necrotizing otitis externa

Answer 6

antipseudomonal ear drops (ofloxacin solution) along with cipro - referral to specialist