علاج التهاب الأذن الخارجي الخبيث بعد فشل العلاج الأولي بالمضادات الحيوية في تحقيق الشفاء السريري

References

DOI: 10.1016/j.jgar.2021.06.015

• Modify IV antimicrobials according to MC/S result
• If treatment fails to resolve NOE even after the initial culture results have suggested antibiotic susceptibility, it is essential to perform a biopsy or re-culture.
• Negative culture from MC
• Punch Biopsy
• Modify for combinational therapy or antifungals
• Punch biopsies could also help differentiate bacterial and fungal NOE.
• Surgery - debridement, polypectomy
• Hyperbaric oxygen Chamber
• The role of topical antibiotics and hyperbaric chamber are not yet clarified; therefore, they are included as optional.
• Absence of presenting symptoms and signs of infection
• Clinical Resolution of NOE