otitis externa
infection of the outer ear
causes
swimming
infection
contact dermatitis
infection causes
staph aurea
pseudomonas aeruginosa
signs
discharge
pain
itchy
inflammation
management
mild-moderate:
topical antibiotic +/- steroid
malignant otitis externa
infection in immunocompromised patients
e.g diabetes
management of malignant otitis externa
urgent referral to ENT
IV antibiotics
what should be given if the 1st line isn’t working or the infection is spreading
oral flucoxacillin
what do you do if otitis externally isn’t responding to abx
refer to ENT