Safety of ototopical antibiotics

D B Welling1, L A Forrest, F Goll

  • 1Department of Otolaryngology, Ohio State University, Columbus, USA.

The Laryngoscope
|May 1, 1995
PubMed

Insights

A single dose of Cortisporin Otic Suspension after tympanostomy tube insertion showed no increased risk of hearing loss or otorrhea in children. This antibiotic is safe for middle ear infections following tube placement.

Area of Science:

  • Otolaryngology
  • Pediatric Otology
  • Infectious Disease

Background:

  • Tympanostomy tube insertion is a common pediatric procedure.
  • Ototopical antibiotics are frequently used post-procedure.
  • Evidence on the safety and efficacy of single-dose antibiotic use is limited.

Purpose of the Study:

  • To evaluate the safety and efficacy of a single dose of ototopical antibiotics.
  • To assess the impact on hearing and otorrhea after tympanostomy tube insertion.

Main Methods:

  • Prospective randomized study.
  • Fifty children received a single dose of Cortisporin Otic Suspension (COS) in one middle ear.
  • Preoperative and postoperative audiograms and otorrhea assessment were performed.

Main Results:

  • No statistical difference in hearing loss between treated and untreated ears.
  • No significant difference in postoperative otorrhea.
  • One patient experienced bilateral sensorineural hearing loss, unrelated to treatment.

Conclusions:

  • A single dose of COS is safe and effective.
  • Does not increase the risk of hearing loss or otorrhea.
  • Supports the use of single-dose ototopical antibiotics post-tympanostomy tube insertion.

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