H66.3
DESCRIPTION
A purulent discharge from the middle ear with perforation of the ear drum for more than two weeks.
Note:
TB is a rare cause of a chronic discharge from the ear.
Persistent or chronic otitis media is also associated with HIV infection in children.
GENERAL AND SUPPORTIVE MEASURES
- Dry mopping is the most important part of the treatment. It should be demonstrated to the child’s caregiver or patient if old enough.
- Continue with dry mopping for 4 weeks.
- Then dry canal as much as possible with paper towel twisted into a wick.
- Then frequently instil acetic acid 2% ear drops 4 drops 4 times daily for 5 days.
- Avoid getting the inside of the ear wet during swimming and bathing by using earplugs only during these activities.
MEDICINE TREATMENT
- Fluoroquinolone eardrops, e.g.:
- Ofloxacin drops, instil 2 drops 8 hourly into the affected ear after dry mopping.
REFERRAL
Emergency
- All with suspected intracranial complication.
Elective
- Suspected cholesteatoma
- Large central perforation.
- No improvement after 4 weeks.