Efficacy of Ichthammol Glycerin Pack and Steroid Antibiotic Pack as Initial Treatment of Acute Otitis Externa: A Comparative Study
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 8
Abstract
Introduction: Otitis externa, characterized by general oedema and erythema of the external auditory canal, can be treated by various modalities including aural toilet, topical antibiotic agents, with or without corticosteroids. This prospective randomized study has been undertaken to compare the efficacy of ichthammol glycerin pack with steroid antibiotic pack as the initial treatment for acute otitis externa. Materials and Methods: A prospective randomized study was carried out on 60 patients diagnosed with acute otitis externa. The patients were randomly divided into two groups. In group A, Ichthammol glycerin pack was kept and in group B, steroid antibiotic pack was inserted. In all the patients the tragal tenderness, VAS score and edema score at the time of presentation were compared with these scores at two days follow up. Results: It was observed that there was statistically significant decrease in the mean pain score and the edema of the external auditory canal (p< 0.001) in both group A as well as group B. Even the tragal tenderness significantly improved within 48 hrs. in both groups (p<0.001). But there was no statistically significant difference in the efficacy of both the groups compared to each other. Conclusion: In this study, both ichthammol glycerin as well as antibiotic steroid combination proved to be effective as the initial treatment of acute otitis externa. Still we would like to recommend ichthammol glycerin pack as initial treatment as it is more cost effective with no risk of antibiotic resistance and is safe in cases of immunocompromised patients.
Authors and Affiliations
Vishal Pathania
Keywords
Related Articles
- EP ID EP528921
- DOI -
- Views 44
- Downloads 0
Prospective Study of Two Management Strategies for Dirty Abdominal Incisions following Laparotomy for Ruptured Appendicitis
Background: The rate of surgical site infection (SSI) for dirty abdominal wounds is about 40%. The optimal closure method, for dirty abdominal incisions, that will reduce SSI still remains controversial. The aim of this...
Foramen Magnum—An Important Tool In Morphometry And Surgical Procedures- Part 1
The study was designed to measure the diameters of foramen Magnum and correlate the measurements with clinical importance. Even among Indians there was difference noted, so the operating surgeon should keep in mind the d...
Correlation of CD4 T Cell Count with Absolute Lymphocyte Count and Haemoglobin Levels in Human Immunodeficiency Virus Diseases
Aim: Depletion of CD4 cell count is a hallmark of disease progression in AIDS. CD4 cell count is essential for physicians to decide about the timing of initiation of antiretroviral therapy (ART) and for prophylaxis of op...
Another Hormone Produced in the Kidney: Gonadopoietin
Objective: observation based clinical literature to investigate the level of sex hormone and sexual dysfunction in patients with uremia, manifestation and associated factors. Methods: comprehensive evaluation on from a l...
Study of Umbilical Cord Blood Lipid Profile in Relation to Gestational Age and Neonatal Birth Weight
BACKGROUND-Atherosclerotic cardiovascular disease is the major cause of death in adulthood and has become a significant problem in our society. Increasing awareness about the origin of the atherosclerosis in early life h...