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Assessement of Modalities for Treatment of Otorrhoea in Active Phase of Simple Chronic suppurative otitis media in Jos University Teaching Hospital
Abstract
Objective: To compare the efficacy of various modalities of treatment of Otorrhoea in simple chronic suppurative otitis media (CSOM) at the ENT unit of Jos University Teaching Hospital.
Method: Patients with uncomplicated CSOM were randomly assigned to 4 groups for treatment.
A: Aural toilet alone.
B: Aural toilet and mild antiseptic.
C: Microscopy, culture and sensitivity determined antibiotic treatment.
D: Broad spectrums antibiotic and antimicrobial cover.
Patients had their ears evaluated for dryness after 7 days and at 28 days of treatment.
Results: After 7 days of treatment, the ears were dry in A (50.8%); B (55.4%); C (44.6%) and D (46.2%). After 28 days, the dry ears that continued to remain dry were, A (48.5%), B (75%), C (82.8%) and D (90%).
Conclusion: Use of antibiotic and antimicrobials has been superior to aural toilet alone. Inclusion of a mild antiseptic with aural toilet improved the outcome of achieving a dry ear.
Key words: Otorrhoea, Active Phase, CSOM, Treatment.
Nigerian Journal of Otorhinolaryngology Vol.2(1) 2005: 22-26
Method: Patients with uncomplicated CSOM were randomly assigned to 4 groups for treatment.
A: Aural toilet alone.
B: Aural toilet and mild antiseptic.
C: Microscopy, culture and sensitivity determined antibiotic treatment.
D: Broad spectrums antibiotic and antimicrobial cover.
Patients had their ears evaluated for dryness after 7 days and at 28 days of treatment.
Results: After 7 days of treatment, the ears were dry in A (50.8%); B (55.4%); C (44.6%) and D (46.2%). After 28 days, the dry ears that continued to remain dry were, A (48.5%), B (75%), C (82.8%) and D (90%).
Conclusion: Use of antibiotic and antimicrobials has been superior to aural toilet alone. Inclusion of a mild antiseptic with aural toilet improved the outcome of achieving a dry ear.
Key words: Otorrhoea, Active Phase, CSOM, Treatment.
Nigerian Journal of Otorhinolaryngology Vol.2(1) 2005: 22-26
