ANSWERS UPDATED FOR 2025/2026.
OE risk factors warmer months
higher humidity
exposure to water
OE antibiotics Fluoroquinolones
Aminoglycosides
OE Fluoroquinolones ofloxacin
ciprofloxacin (Cipro with hydrocortisone)
what med is safe with perforated TM in OE? Fluoroquinolones
Aminoglycosides for OE neomycin
neomycin w/ polymyxin B (cortisporin)
OE- fungal Solution of vinegar and alcohol
Clotrimazole otic
Fluconazole
topical anesthetics for OE benzocaine otic solution
, Removal of debris in OE aural lavage W/hydrogen peroxide, saline or water
Otitis media referral 6 months or younger -lethargic or toxic
AOM therapy (not severe) Watchful waiting
follow-up within 48-72
AOM first line tx abx Amoxicillin OR Augmentin
AOM 2nd line tx abx Azithromycin or doxycycline
AOM abx KIDS Third generation cephalosporin (cefdinir) or azithromycin
Augmentin
Clindamycin
Cerumen obstruction adult pull pinna gently up and backward
Cerumen obstruction kids ear pull downwards
Cerumen obstruction removal instilling fluid
commercial ceruminolytic agent OR
2-3 drops baby oil or mineral oil, liquid docusate sodium or hydrogen peroxide
commercial ceruminolytic agent any brand of carbamide peroxide