Efficacy of Empirical Therapy With Combined Ciprofloxacin Versus Topical Drops Alone in Patients With Tubotympanic Chronic Suppurative Otitis Media: A Randomized Double-Blind Controlled Trial
| Autor: | Maisam Abbas Onali, Syed Ijlal Ahmed, Asneha Owais, Ahmad Ahmad, Sadaf Zia, Syeda Beenish Bareeqa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty 030106 microbiology Chronic Suppurative Otitis Media medicine.disease_cause law.invention Double blind 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Internal medicine medicine In patient 030223 otorhinolaryngology Chronic suppurative otitis media (CSOM) Original Research Pseudomonas aeruginosa business.industry General Medicine lcsh:Otorhinolaryngology empirical antibiotics lcsh:RF1-547 otorrhea Ciprofloxacin business medicine.drug |
| Zdroj: | Clinical Medicine Insights: Ear, Nose and Throat, Vol 11 (2018) Clinical Medicine Insights. Ear, Nose and Throat |
| ISSN: | 1179-5506 |
| Popis: | Background: One of the prevailing otologic infections in our country is chronic suppurative otitis media, especially the tubotympanic type for which various treatment protocols are followed. Usually, oral and topical antibiotics (mainly quinolones) are given alone or in combination. There is a lack of consensus as to whether topical drops alone are effective or a combined oral and systemic therapy should be prescribed. In our study, we have attempted to observe the efficacy of empirical therapy with combined ciprofloxacin versus topical drops only in patients with tubotympanic chronic suppurative otitis media for control of infection. Methodology: A total of 100 patients visiting the outpatient ENT department at our tertiary care hospital with clinically diagnosed chronic suppurative otitis media (tubotympanic type) were enrolled in our study. The study was reviewed and accepted by the ethical review committee. A detailed proforma was filled for all patients. All patients after aural toilet were subjected randomly to one of the 2 treatment methods, ie, topical ciprofloxacin ear drops plus an oral placebo or combined oral and topical ciprofloxacin. These patients were reviewed after 1 week of treatment. Results: It was observed that 48 of 50 (96%) patients responded to treatment in the group receiving topical ciprofloxacin, whereas 49 of 50 (98%) patients responded in the group receiving combined therapy. This difference was not significant. Moreover, age, sex, and duration of discharge did not have any effect on treatment. There were minimal side effects in both groups, which were also not significant and disappeared after discontinuation of treatment. Conclusions: The results of this study show that topical ciprofloxacin drops were as effective as combined oral and topical ciprofloxacin and that the addition of oral drug did not have any beneficial effect and added only to the cost of treatment. |
| Databáze: | OpenAIRE |
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