[Summary of the practice guideline 'Otitis externa' (first revision) from the Dutch College of General Practitioners].
* The practice guideline 'Otitis externa', first developed by the Dutch College of General Practitioners in 1995, has been revised and updated. * It is no longer recommended to perform a KOH test on material collected from the auditory canal in patients with otitis externa. * Eardrops that contain both acid and corticosteroids are preferred over eardrops that contain acid only. * Suitable options include acidic eardrops with hydrocortisone 1% FNA and acidic eardrops with triamcinolone acetonide 0.1% FNA at a dose of 3 drops thrice daily. * The guideline contains a detailed discussion of the ototoxicity of eardrops in patients with tympanic membrane perforation. * Management of these patients, however, remains unchanged: the preferred approach is aluminium acetotartrate eardrops 1.2% FNA.
Wiersma
T J
TJ
Nederlands Huisartsen Genootschap, afd. Richtlijnontwikkeling en Wetenschap, Postbus 3231, 3502 GE Utrecht. t.wiersma@nhg.org
Rooijackers-Lemmens
E
E
van Balen
F A M
FA
Opstelten
W
W
Starreveld
J S
JS
Goudswaard
A N
AN
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use*; D004333:Drug Administration Routes; D004334:Drug Administration Schedule; D005194:Family Practice / Q000592:standards*; D006801:Humans; D009426:Netherlands; D010032:Otitis Externa / Q000175:diagnosis* / Q000188:drug therapy*; D010818:Practice Patterns, Physicians'; D012955:Societies, Medical; D013644:Tartrates / Q000627:therapeutic use; D018058:Tympanic Membrane Perforation / Q000150:complications
D000305:Adrenal Cortex Hormones; D013644:Tartrates; C041214:acetotartaric acid