Topical ofloxacin versus systemic amoxicillin/clavulanate in purulent otorrhea in children with tympanostomy tubes.

Author: DoharJ, GoldbergT, GoldblattE L, NielsenR W, NozzaR J, SeidlinM, SidmanJ D

Paper Details 
Original Abstract of the Article :
Acute otitis media (AOM) in children with tympanostomy tubes in place typically presents with otorrhea (draining ear). Because therapy is not standardized, various topical and systemic antibiotics of unproven efficacy and safety have been used in this indication. This study compared the safety and e...See full text at original site
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引用元:
https://doi.org/10.1016/s0165-5876(98)00150-5

データ提供:米国国立医学図書館(NLM)

Otitis Media in Children: Finding the Right Route to Recovery

Acute otitis media (AOM) is a common ailment in children, often presenting as ear drainage, or otorrhea, when tympanostomy tubes are in place. This study investigates the effectiveness and safety of different treatment options for AOM in children with tympanostomy tubes.

The researchers compared two common treatments: topical ofloxacin otic solution (OFLX) and systemic amoxicillin/clavulanate (AUG). The participants, 1-12 year old children with tympanostomy tubes and acute purulent otorrhea, were randomly assigned to receive either OFLX or AUG for 10 days. They assessed the cure rates, pathogen eradication rates, and adverse events, along with the impact of the treatment on hearing acuity.

The study demonstrated comparable overall cure rates for OFLX and AUG. However, OFLX showed superior pathogen eradication rates for Staphylococcus aureus and Pseudomonas aeruginosa. Interestingly, OFLX was also better tolerated than AUG, with a significantly lower rate of treatment-related adverse events.

Topical Treatment: A More Comfortable Ride

The results of this study suggest that topical ofloxacin may be an effective and well-tolerated alternative to systemic amoxicillin/clavulanate for treating AOM in children with tympanostomy tubes. It's like a camel caravan choosing a smoother, less bumpy path through the desert, avoiding unnecessary discomfort and potential hazards.

Navigating Ear Infections: Seeking Expert Guidance

This study emphasizes the importance of seeking professional medical guidance for ear infections in children. It's crucial to consult a healthcare professional to determine the most appropriate treatment option for each individual child, ensuring a comfortable and safe journey to recovery.

Dr.Camel's Conclusion

This study provides valuable insights into the treatment of AOM in children with tympanostomy tubes, suggesting that topical ofloxacin may be a more effective and well-tolerated alternative to systemic antibiotics. This research reinforces the importance of personalized treatment approaches, ensuring a smoother and more comfortable journey for children navigating the challenges of ear infections.

Date :
  1. Date Completed 1999-05-17
  2. Date Revised 2019-09-05
Further Info :

Pubmed ID

10190709

DOI: Digital Object Identifier

10.1016/s0165-5876(98)00150-5

Related Literature

SNS
PICO Info
in preparation
Languages

English

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