急性外耳炎。按现代临床指南诊治

Q4 Medicine

Otorhinolaryngology Clinics Pub Date : 2022-07-29 DOI:10.37219/2528-8253-2022-3-88

V. Popovych

{"title":"急性外耳炎。按现代临床指南诊治","authors":"V. Popovych","doi":"10.37219/2528-8253-2022-3-88","DOIUrl":null,"url":null,"abstract":"Acute external otitis – is an infectious and inflammatory disease of the skin of the external auditory canal, which is more common in adults, less often in children. The most frequent causative agents of acute external otitis are Pseudomonas aeruginosa (20-60%) and Staphylococcus aureus (10-70%), the frequency of fungal flora does not exceed 10% and is not significant from the point of view of empirical prescription of antifungal drugs. Propensity to the disease is caused by a hot and humid climate, swimming, traumatization of the skin of the auditory canal, comorbid diseases. Patients with acute otitis externa are mainly outpatients and do not require inpatient treatment. Empiric therapy of uncomplicated acute external otitis determines the appointment of local ototopic drugs in the form of drops, which include a combination of polymyxin B, neomycin, which provides a bactericidal effect on typical pathogens, and glucocorticoid dexamethasone. Effective local treatment is facilitated by thorough cleaning of the external auditory canal. The criterion for the effectiveness of the treatment is the reduction of pain, itching and congestion within 48-76 hours and recovery within seven days.","PeriodicalId":38742,"journal":{"name":"Otorhinolaryngology Clinics","volume":"11 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Acute otitis externa. Diagnosis and treatment according to modern clinical guidelines\",\"authors\":\"V. Popovych\",\"doi\":\"10.37219/2528-8253-2022-3-88\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Acute external otitis – is an infectious and inflammatory disease of the skin of the external auditory canal, which is more common in adults, less often in children. The most frequent causative agents of acute external otitis are Pseudomonas aeruginosa (20-60%) and Staphylococcus aureus (10-70%), the frequency of fungal flora does not exceed 10% and is not significant from the point of view of empirical prescription of antifungal drugs. Propensity to the disease is caused by a hot and humid climate, swimming, traumatization of the skin of the auditory canal, comorbid diseases. Patients with acute otitis externa are mainly outpatients and do not require inpatient treatment. Empiric therapy of uncomplicated acute external otitis determines the appointment of local ototopic drugs in the form of drops, which include a combination of polymyxin B, neomycin, which provides a bactericidal effect on typical pathogens, and glucocorticoid dexamethasone. Effective local treatment is facilitated by thorough cleaning of the external auditory canal. The criterion for the effectiveness of the treatment is the reduction of pain, itching and congestion within 48-76 hours and recovery within seven days.\",\"PeriodicalId\":38742,\"journal\":{\"name\":\"Otorhinolaryngology Clinics\",\"volume\":\"11 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-07-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Otorhinolaryngology Clinics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.37219/2528-8253-2022-3-88\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Otorhinolaryngology Clinics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.37219/2528-8253-2022-3-88","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

摘要

急性外耳炎——是一种外耳道皮肤的感染性和炎症性疾病，常见于成人，较少见于儿童。急性外耳炎最常见的病原体是铜绿假单胞菌(20-60%)和金黄色葡萄球菌(10-70%)，真菌菌群的频率不超过10%，从抗真菌药物的经验处方来看不显著。该病的发病倾向是由湿热气候、游泳、耳道皮肤创伤、合并症引起的。急性外耳炎患者以门诊为主，不需要住院治疗。单纯急性外耳炎的经经验治疗决定了局部耳位药物滴注的使用，包括多粘菌素B、对典型病原体具有杀菌作用的新霉素和糖皮质激素地塞米松的联合使用。彻底清洁外耳道有助于有效的局部治疗。治疗有效的标准是48-76小时内疼痛、瘙痒和充血减轻，7天内恢复。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Acute otitis externa. Diagnosis and treatment according to modern clinical guidelines

Acute external otitis – is an infectious and inflammatory disease of the skin of the external auditory canal, which is more common in adults, less often in children. The most frequent causative agents of acute external otitis are Pseudomonas aeruginosa (20-60%) and Staphylococcus aureus (10-70%), the frequency of fungal flora does not exceed 10% and is not significant from the point of view of empirical prescription of antifungal drugs. Propensity to the disease is caused by a hot and humid climate, swimming, traumatization of the skin of the auditory canal, comorbid diseases. Patients with acute otitis externa are mainly outpatients and do not require inpatient treatment. Empiric therapy of uncomplicated acute external otitis determines the appointment of local ototopic drugs in the form of drops, which include a combination of polymyxin B, neomycin, which provides a bactericidal effect on typical pathogens, and glucocorticoid dexamethasone. Effective local treatment is facilitated by thorough cleaning of the external auditory canal. The criterion for the effectiveness of the treatment is the reduction of pain, itching and congestion within 48-76 hours and recovery within seven days.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Otorhinolaryngology Clinics Medicine-Otorhinolaryngology

CiteScore

0.10

自引率

0.00%

发文量

期刊介绍： Otorhinolaryngology Clinics: An International Journal is an International periodical devoted at exploring connections between clinical experience and world literature, and understanding of various pathologies and diseases related to the ear, nose and throat. Issues of recent advancements and research related to disease, illness, health and medical science are examined through various evidence-based clinical research studies. This journal proposes to serve as a collection of clinical notes, with an international perspective, along with the recent advances for postgraduates and consultants. The readership for this journal would include a wide variety of healthcare professionals, such as otolaryngologists, head and neck surgeons, ENT nurses as well as scholars and academicians in the field of medicine, trauma, surgery, etc. This journal aims to encourage the analysis of clinical data from various centers all over the world using standardized protocols to develop an international consensual perspective on the management of disorders related to the field of otorhinolaryngology. Recently, we have introduced "Case Reports", "How I Do It" and "Original Research" categories in the process of expanding the scope of the journal. Thisis a peer-reviewed journal of which three issues would be published each year. Each future issue will cover a different topic of special interest in the field of otorhinolaryngology and head and neck surgery. This issue is the first of its kind dedicated to "anesthesia in otorhinolaryngology" and contains a compilation of articles by experienced anesthesiologists dealing with a large volume of ENT and related surgeries. In each issue, the editors give their perspective based on the submitted articles. All non invited articles are peer-reviewed. Peer-revieweing helps in providing unbiased, independent, critical assessment of the results of the research study in question including the scientific process.