Topical vs Combination Ciprofloxacin in the Management of Discharging Chronic Suppurative Otitis Media.

OBJECTIVES

To study the microbial flora and determine the efficacy of topical ciprofloxacin ear drops in comparison with combination of topical and oral ciprofloxacin as first line management in patients diagnosed with chronic suppurative otitis media.

MATERIALS AND

METHODS

Prospective randomized interventional clinical trial on 100 patients who presented with an acute episode of CSOM to our outpatient department.

RESULTS

In our study, topical ciprofloxacin therapy was found to be an effective treatment for an acute on chronic otitis media as was the combination therapy though the overall recurrence rate was found to be more in the former group.

CONCLUSION

In the absence of systemic infection or serious underlying disease, topical antibiotics alone constitute first line treatment for most patients with chronic suppurative otitis media, finding no evidence that systemic antibiotics alone or in combination with topical preparations improve treatment outcomes compared with topical antibiotics alone.