Spectrum: Local Antimicrobial Stewardship, for Alberta Children's Hospital

Otitis Externa

Note

If severe, consult ENT for debridement

Consider using an astringent to aid in debridement (e.g. Buro-sol®, Auro-dri®, vinegar diluted 1:1 with propylene glycol or isopropyl alcohol)

Bacterial Pathogen

Pseudomonas aeruginosa

Staphylococcus aureus

Duration of Therapy

Depends on the clinical condition or response

First Line Therapy

Cortisporin® eye/ear drops. 10,000 U Polymyxin B, 3.5mg Neomycin base, 10 mg Hydrocortisone divided tid-qid

OR

Cipro HC® ear drops. 2mg Ciprofloxacin HCl divided bid.