Tintinalli 9th. p1560~1566 & Schwartz 3rd, p2177~2183
D1. Bullous Myringitis
(1) Otitis media์ ๋์ผํ typical organism์ด ์์ธ
โ S. pneumoniae, H. influenzae, M. catarrhalis
โก Not Mycoplasma pneumonia
(2) Severe otalgia, deep EAC๋ TM์ bulla formation
(3) Treatment
โ Amoxicillin (2nd line augmentin, cefdinir, cefpodoxime)
โก 72์๊ฐ ๋์ ๋ฐ์ ์์ ์ augmentin, levofloxacin, moxifloxacin
D2. Supprative Otitis Media
(1) ์์ธ๊ท : S. pneumonia, H. influenza
(2) Treatment : Amoxicillin, or bactrim, azithromycin, cefuroxime (2nd generation)
D3. Furunculosis of EEC
(1) ์์ธ๊ท : Staphylococci
(2) Treatment : Dicloxacillin, clindamycin, first or 2nd generation cephalosporin
D4. Otitis Externa
(1) ์์ธ๊ท : Pseudomonas aeruginosa, Stap. aureus, Enterobacteriaceae, Proteus species
(2) ๋ฉด์ญ์ ํ ํ์์์๋ fungus (Aspergillus or Candida)
(3) Treatment
โ Cleansing of the external auditory canal
โก Acidifying agents, topical antimicrobials (acidifying agent๋ TM ์์ ์ ๊ธ๊ธฐ)
: Topical agents - ofloxacin, ciprofloxacin, acetic acid
โข Steroid ๋ optional
โฃ Oral antibiotics๋ fever ๋๋ฐ๋๊ฑฐ๋ malignant Otitis externa๋ก ์งํ ์ ์ฌ์ฉ
D5. Post-Traumatic Perichondritis
(1) ์์ธ๊ท : Pseudomonas, S. aureus
(2) Treatment : Antipseudomonal penicillin & aminoglycoside
โข
Some of Common topical otic preparations
