Antimicrobial prescribing: NHS Forth Valley
Important: Therapy
Aural toilet + analgesia
If no improvement:
Topical Acetic Acid 2% 1 spray TDS and warm compresses for 7 days
Notes:
Send aspirate or swab. Gentamicin is contra-indicated in patients with a perforated tympanic membrane
Otitis Externa
Micro Organisms
Staph. aureus, Pseudomonas aeruginosa, Candida spp., airborne fungi
Important: Therapy
Ciprofloxacin 0.2% ear drops BD for 7 days
(If 0.2% ear drops unavailable then use 0.3% eye drops)
Notes:
Seek ENT and microbiology advice
Important: Therapy
Flucloxacillin PO for 7 days
If penicillin allergic:
< 8 years old: cefuroxime PO
> 8 years old: Doxycycline PO
If severe:
Ceftriaxone IV
Notes:
Important: Therapy
Piperacillin/Tazobactam IV 6 hourly
Notes:
Ensure dose and frequency of antibiotics are adequate to treat Pseudomonas aeruginosa
ENT review advised
Discuss duration with microbiology
Important: Therapy
Ceftazidime IV (high dose as per BNFc)
Notes:
Ensure dose and frequency of antibiotics are adequate to treat Pseudomonas aeruginosa
ENT review advised
Discuss duration with microbiology