Comparative Study of Combined Steroid-Antibiotic Aural Pack versus Antibiotic Drop in Otitis Externa
INTRODUCTION Otitis externa is an inflammatory condition of the skin of the external auditory canal that is characterized by generalized edema and erythema. It is a very common condition which is encountered in day to day outpatient services in the life of otolaryngologists. So treatment includes n...
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The Association of Otolaryngologists of India, West Bengal
2024-05-01
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| Series: | Bengal Journal of Otolaryngology and Head Neck Surgery |
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| Online Access: | https://bjohns.in/journal23/index.php/bjohns/article/view/79 |
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| author | Jayanta Saha Debabrata Biswas Tithi Debnath Subhadeep Chowdhury |
| author_facet | Jayanta Saha Debabrata Biswas Tithi Debnath Subhadeep Chowdhury |
| author_sort | Jayanta Saha |
| collection | DOAJ |
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INTRODUCTION
Otitis externa is an inflammatory condition of the skin of the external auditory canal that is characterized by generalized edema and erythema. It is a very common condition which is encountered in day to day outpatient services in the life of otolaryngologists. So treatment includes not only antibiotics and analgesics systemically but also aural packing for topical application . This study was performed to observe the effectiveness of treatment for relieving pain and edema by comparing steroid–antibiotic aural pack with antbiotic ear drop.
METHODS
A total of 60 patients were divided into two groups where one group was given steroid –antibiotic pack and the other group was given antibiotic ear drop. NRS was used to assess the pain and edema was assessed by otorhinolarygologists on subsequent visits. Patients were called every 48 hours for assessment. We also assessed the need for second line antibiotic in both group of patients. Statistical analysis was done using “Z” test of mean to compare average number of score and visits in two different groups.
RESULTS
Patients belonging to the steroid-antibiotic pack group had early subsidence of edema and lesser number of visits as compared to only antibiotic group. Also pain was relieved early in less number of visits in the antibiotic-steroid pack group as compared to only antibiotic group. Also need of second line of antibiotic was also statistically significant in steroid-antibiotic pack group as compared to antibiotic drop group. Age and gender were analyzed and there was no significant differences in these factors on comparison between the two groups.
CONCLUSION
As control of pain and edema is more and hence the number of visits is significantly less in steroid–antibiotic packing group, so it is therefore suggested to use steroid–antibiotic pack for effective treatment of acute otitis externa.
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| format | Article |
| id | doaj-art-33b87764a9cf455f91ceffaa73b2c87d |
| institution | Kabale University |
| issn | 2395-2393 2395-2407 |
| language | English |
| publishDate | 2024-05-01 |
| publisher | The Association of Otolaryngologists of India, West Bengal |
| record_format | Article |
| series | Bengal Journal of Otolaryngology and Head Neck Surgery |
| spelling | doaj-art-33b87764a9cf455f91ceffaa73b2c87d2025-02-11T09:43:35ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-23932395-24072024-05-0131310.47210/bjohns.2023.v31i3.79Comparative Study of Combined Steroid-Antibiotic Aural Pack versus Antibiotic Drop in Otitis ExternaJayanta Saha0Debabrata Biswas1Tithi Debnath2Subhadeep Chowdhury3R G Kar Medical College and Hospital, KolkataR G Kar Medical College and Hospital, KolkataKharagpur Sub-divisional Hospital, KharagpurSalboni Superspeciality Hospital, Salboni, West Midnapore INTRODUCTION Otitis externa is an inflammatory condition of the skin of the external auditory canal that is characterized by generalized edema and erythema. It is a very common condition which is encountered in day to day outpatient services in the life of otolaryngologists. So treatment includes not only antibiotics and analgesics systemically but also aural packing for topical application . This study was performed to observe the effectiveness of treatment for relieving pain and edema by comparing steroid–antibiotic aural pack with antbiotic ear drop. METHODS A total of 60 patients were divided into two groups where one group was given steroid –antibiotic pack and the other group was given antibiotic ear drop. NRS was used to assess the pain and edema was assessed by otorhinolarygologists on subsequent visits. Patients were called every 48 hours for assessment. We also assessed the need for second line antibiotic in both group of patients. Statistical analysis was done using “Z” test of mean to compare average number of score and visits in two different groups. RESULTS Patients belonging to the steroid-antibiotic pack group had early subsidence of edema and lesser number of visits as compared to only antibiotic group. Also pain was relieved early in less number of visits in the antibiotic-steroid pack group as compared to only antibiotic group. Also need of second line of antibiotic was also statistically significant in steroid-antibiotic pack group as compared to antibiotic drop group. Age and gender were analyzed and there was no significant differences in these factors on comparison between the two groups. CONCLUSION As control of pain and edema is more and hence the number of visits is significantly less in steroid–antibiotic packing group, so it is therefore suggested to use steroid–antibiotic pack for effective treatment of acute otitis externa. https://bjohns.in/journal23/index.php/bjohns/article/view/79Otitis externaEar diseasesExternal earTopical administration |
| spellingShingle | Jayanta Saha Debabrata Biswas Tithi Debnath Subhadeep Chowdhury Comparative Study of Combined Steroid-Antibiotic Aural Pack versus Antibiotic Drop in Otitis Externa Bengal Journal of Otolaryngology and Head Neck Surgery Otitis externa Ear diseases External ear Topical administration |
| title | Comparative Study of Combined Steroid-Antibiotic Aural Pack versus Antibiotic Drop in Otitis Externa |
| title_full | Comparative Study of Combined Steroid-Antibiotic Aural Pack versus Antibiotic Drop in Otitis Externa |
| title_fullStr | Comparative Study of Combined Steroid-Antibiotic Aural Pack versus Antibiotic Drop in Otitis Externa |
| title_full_unstemmed | Comparative Study of Combined Steroid-Antibiotic Aural Pack versus Antibiotic Drop in Otitis Externa |
| title_short | Comparative Study of Combined Steroid-Antibiotic Aural Pack versus Antibiotic Drop in Otitis Externa |
| title_sort | comparative study of combined steroid antibiotic aural pack versus antibiotic drop in otitis externa |
| topic | Otitis externa Ear diseases External ear Topical administration |
| url | https://bjohns.in/journal23/index.php/bjohns/article/view/79 |
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