Otitis externa primary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.; Tarek Nafee, M.D. [2]

Overview

Methods of primary prevention include avoiding damage to the ear canal that can facilitate bacterial or fungal infection or create or exacerbate dermatoses. Primary prevention of otitis externa includes avoiding prolonged exposure to humidity and avoiding swimming in contaminated bodies of water.

Primary Prevention

Methods of primary prevention include avoiding damage to the ear canal that can facilitate bacterial or fungal infection or create or exacerbate dermatoses. These measures include:[1]

  • Avoiding swimming in contaminated bodies of water[2]
  • Avoiding inserting cotton swabs or abrasive cleaning materials into the ear canal that can cause epidermal damage
  • Avoiding prolonged use of topical antibiotics to prevent otomycosis[3]
  • Wearing swimming caps or ear plugs when swimming
  • Avoiding prolonged exposure to excessive humidity[4]
  • Using battery-powered ear dryers to dry the ear canal without causing irritation
  • Administering burow's solution
  • Avoiding irritants or allergens in the ear canal to prevent dermatitis-caused otitis externa

References

  1. "Otitis externa - Prevention - NHS Choices".
  2. Weingarten MA (1977). "Otitis externa due to Pseudomonas in swimming pool bathers". J R Coll Gen Pract. 27 (179): 359–60. PMC 2158103. PMID 408486.
  3. Viswanatha B, Naseeruddin K (2011). "Fungal infections of the ear in immunocompromised host: a review". Mediterr J Hematol Infect Dis. 3 (1): e2011003. doi:10.4084/MJHID.2011.003. PMC 3103236. PMID 21625307.
  4. Mittal A, Kumar S (2014). "Role of pH of External Auditory Canal in Acute Otitis Externa". Indian J Otolaryngol Head Neck Surg. 66 (1): 86–91. doi:10.1007/s12070-013-0684-0. PMC 3938709. PMID 24605308.

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