Thursday, August 26, 2010

Malignant Otitis Externa...

Dear Friends,
Medical treatment mainly consisits of Antibiotics.New protocol contains fourth and third generation Cephalosporins....Cefepime which is a fourth generation Cephalosporin and has got Gram Positive and Gram Negative Coverage and needs to be given IV or IM for 6 to 12 weeks.Ceftazidime is a third generation Cephalosporin which is Beta Lactamase stable and has got good coverage against Pseudomonas.Needs to be given IV or IM 8 to 12 hrly for 6 to 12 weeks.Piperacillin is also given.
Oral Ciprofloxacillin given for 6 to 8 weeks show good results in milder cases.
Besides local treatment contains of Dry Aural Toilet,Antibiotic Ear Drops.Acetic Acid Drops are also used.
CONTROL OF DIABETES IS VERY IMPORTANT.

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