COMPARISON OF THE EFFICACY OF ANTIBIOTIC-STEROID AND ICHTHAMMOL GLYCERINE WICK IN TREATMENT OF ACUTE OTITIS EXTERNA

Maryam Khan; Kamran Ashfaq Ahmed Butt; Naeem Riaz; Zaheer Ul Hassan; Attique Ahmed; Muhammad Wasif

doi:10.51253/pafmj.v71iSuppl-3.4556

Authors

Maryam Khan Hayatabad Medical Complex, Peshawar Pakistan
Kamran Ashfaq Ahmed Butt Combined Military Hospital Peshawar/National University of Medical Sciences (NUMS) Pakistan
Naeem Riaz Pak Naval Ship Shifa Hospital, Karachi Pakistan
Zaheer Ul Hassan Combined Military Hospital Peshawar/National University of Medical Sciences (NUMS) Pakistan
Attique Ahmed Combined Military Hospital Lahore/National University of Medical Sciences (NUMS) Pakistan
Muhammad Wasif Combined Military Hospital Chunian/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v71iSuppl-3.4556

Keywords:

Bacterial otitis externa, Ciprofloxacin/dexamethasone wick, Glycerol/ichthammol wick

Abstract

Objective: To compare the efficacy of steroid antibiotic wick with Ichthammol Glycerol wick in the management of Acute Otitis Externa in terms of tenderness and clearance of discharge/debris.

Study Design: Quasi-experimental study.

Place and Duration of Study: ENT Out Patient department of Combined Military Hospital Peshawar and Hayatabad Medical Complex Peshawar, from May to Nov 2018.

Methodology: A total of 250 patients were included and divided into two groups of 125 each. After necessary suction clearance topical Ciprofloxacin/Dexamethasone (Cipotec-D) wick was placed in auditory canal of group A patients and topical Glycerol/Ichthammol wick was placed in group B. Follow up visits were done on 3rd and 7th day of starting the treatment.

Results: Group A patients responded better in terms of tenderness (88%) however both groups had similar response in terms of discharge reduction (7.2% vs 6.4%). In terms of efficacy neither of the treatment proved more efficacious compared to the other (p-value 0.058).

Conclusion: While steroid antibiotic wick is significantly more efficient in terms reducing tenderness, in terms of overall efficacy and discharge reduction Ichthammol/glycerol is equally effective.