Clinical practice guideline: Acute otitis externa

@article{Rosenfeld2006ClinicalPG,
  title={Clinical practice guideline: Acute otitis externa},
  author={Richard M. Rosenfeld and Lance Brown and C. Ron Cannon and Rowena J. Dolor and Theodore G Ganiats and Maureen t. Hannley and Phillip Kokemueller and S. Michael Marcy and Peter Sargent Roland and Richard N. Shiffman and Sandra S. Stinnett and David L. Witsell},
  journal={Otolaryngology- Head and Neck Surgery},
  year={2006},
  volume={134},
  pages={S23 - S4}
}

Figures and Tables from this paper

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TLDR
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Use of Systemic Antibiotics for Acute Otitis Externa: Impact of a Clinical Practice Guideline.
OBJECTIVE To assess the extent of systemic antibiotic use among patients with acute otitis externa (AOE), as well as the impact of an AOE clinical practice guideline publication in 2006. STUDY
Further discussion on treating acute otitis externa
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Oral antimicrobial therapy should be reserved for persistent OE, when acute otitis media is present, or when infection has spread locally or systemically, the author says.
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References

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Appropriate treatment of localized otitis externa with topical antibiotics should eliminate the need for systemic medications, and addition of systemic medications can unnecessarily increase treatment costs and the likelihood of side effects, and could reduce the chances of patient compliance.
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The Panel concluded that in the absence of systemic infection or serious underlying disease, topical antibiotics alone constitute first-line treatment for most patients with these conditions, finding no evidence that systemic antibiotics alone or in combination with topical preparations improve treatment outcomes compared with topical antibiotic alone.
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An improvement in the overall management and a rationalization of follow-up for otitis externa was seen by applying basic audit principles to this common clinical problem.
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TLDR
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