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10/27/2018  |   1:15 PM - 2:00 PM   |  Kramer Lecture Theater 2

The Use of Antiseptics Rather than Antibiotics in Active Chronic Otitis Media (COM)

Background: The literature has established that in active chronic otitis media (COM) local antibiotics are better than oral and than ear toilet alone; and that quinolone +/- steroid eardrops are the current gold standard for effectiveness. Howeve, these antibiotic eardrops have some disadvantages, especially in the emerging world - not the least being price. Aim: To describe our research on the use of local antiseptic therapy in active COM. Method: We conducted 2 studies: a large-scale randomized controlled trial on the use of boric acid powder in active COM; and an in vitro study of several other potentially useful antiseptics. Results: We found boric acid powder, administered once-off according to our technique, was as effective as quinolone drops. And povidone iodine 5% solution shows in vitro potential as another antiseptic agent.

  • To understand the existing evidence for effective treatment of active COM
  • To discuss the potential advantages of topical antiseptics for active COM
  • To demonstrate the technique for the successful use of boric acid powder for active COM

Presentation:
18607_10571JamesLoock.pdf

Handouts:
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James W. Loock (Primary Presenter), University of Stellenbosch/Tygerberg Hospital, tba3;
tba

      ASHA DISCLOSURE:

Financial -

Nonfinancial -


      AAA DISCLOSURE:

Financial - No relevant financial relationship exists.

Andre S. Van Straten (Co-Presenter), Tygerberg Hospital , tba4;
tba
      ASHA DISCLOSURE:

Financial -

Nonfinancial -


      AAA DISCLOSURE:

Financial - No relevant financial relationship exists.