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Improving otitis externa management in secondary care through a standardised treatment algorithm.
Waseem Hasan1, Jessica Kennett2, Zineb Bentounsi1
1Department of Otolaryngology, University Hospital Southampton NHS Trust, Southampton, UK.
The Journal of Laryngology and Otology
|December 6, 2023
Summary
A new treatment algorithm for otitis externa (swimmer's ear) empowers junior doctors, improving topical antibiotic use and water precaution advice. This supports better management in secondary/tertiary care settings.
Area of Science:
- Otolaryngology
- Infectious Disease Management
- Clinical Practice Guidelines
Background:
- Otitis externa is frequently managed by junior doctors in ENT clinics without national guidelines.
- Effective management strategies are needed to support junior clinicians.
Purpose of the Study:
- To implement a standardized treatment algorithm for otitis externa.
- To enhance junior doctor support and improve patient outcomes.
Main Methods:
- Retrospective baseline data collection (16 weeks).
- Implementation of a standardized otitis externa treatment algorithm.
- Prospective data collection (16 weeks) with a second improvement cycle focusing on topical antibiotics and water precautions.
Main Results:
- Improved topical antibiotic prescribing (p=0.01).
- Enhanced provision of water precaution advice (p<0.01).
- Junior doctors showed increased patient review frequency and reduced need for senior support.
Conclusions:
- The developed treatment algorithm enhances junior doctor independence in otitis externa management.
- Implementation of the algorithm leads to improved overall treatment of otitis externa.
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