Approach to otitis externa.

IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Janjulee Ellis, Allison De La Lis, Emily Rosen, Matthew T W Simpson, Michael M Beyea, Jason A Beyea
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引用次数: 0

Abstract

Objective: To provide family physicians with a practical evidence-based approach to management of otitis externa.

Sources of information: The approach described is based on MEDLINE and PubMed literature published between 1993 and 2023.

Main message: Otitis externa is diffuse inflammation of the external auditory canal and typically occurs from moisture exposure and trauma. Management focuses on eliminating infection, pain management, education, and preventing recurrence. The primary treatment of uncomplicated otitis externa is topical. Complicated presentations may require additional systemic therapy.

Conclusion: History taking and physical examination can help differentiate among acute, chronic, and necrotizing otitis externa. At-risk populations, typically those who are immunosuppressed, are more likely to develop necrotizing otitis externa and should be carefully monitored.

外耳道炎的治疗方法
目的为家庭医生提供实用的循证外耳道炎治疗方法:所述方法基于 1993 年至 2023 年间发表的 MEDLINE 和 PubMed 文献:主要信息:外耳道炎是外耳道的弥漫性炎症,通常由暴露于潮湿环境和外伤引起。治疗重点是消除感染、止痛、教育和预防复发。无并发症的外耳道炎主要采用局部治疗。并发症可能需要额外的系统治疗:病史采集和体格检查有助于区分急性、慢性和坏死性外耳道炎。高危人群(通常是免疫抑制人群)更容易患坏死性外耳道炎,因此应仔细监测。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Canadian Family Physician
Canadian Family Physician 医学-医学:内科
CiteScore
2.30
自引率
9.70%
发文量
262
审稿时长
4-8 weeks
期刊介绍: Mission: Canadian Family Physician (CFP), a peer-reviewed medical journal, is the official publication of the College of Family Physicians of Canada. Our mission is to ensure that practitioners, researchers, educators and policy makers are informed on current issues and in touch with the latest thinking in the discipline of family medicine; to serve family physicians in all types of practice in every part of Canada in both official languages; to advance the continuing development of family medicine as a discipline; and to contribute to the ongoing improvement of patient care.
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