TY  - CHAP
M1  - Book, Section
TI  - Minor Otic Disorders (Cerumen Impaction, Otitis External)
A1  - Eiland, Lea S.
A2  - DiPiro, Joseph T.
A2  - Yee, Gary C.
A2  - Haines, Stuart T.
A2  - Nolin, Thomas D.
A2  - Ellingrod, Vicki L.
A2  - Posey, L. Michael
Y1  - 2023
N1  - 
T2  - DiPiro’s Pharmacotherapy: A Pathophysiologic Approach, 12th Edition
AB  - KEY  CONCEPTSThe  most  common  pathogens  in  acute  otitis  externa  (AOE)  are  Pseudomonas  aeruginosa  and  Staphylococcus  aureus.Topical  antimicrobials  are  the  medication  and  route  of  choice  for  the  treatment  of  AOE.Systemic  antimicrobials  are  not  warranted  for  the  initial  treatment  of  diffuse,  uncomplicated  AOE.Pain  should  be  assessed  in  all  patients  and  therapy  recommended  based  upon  severity.Appropriate  counseling  points  for  otic  administration  of  medication  should  be  provided  to  each  patient.Cerumen  production  is  a  naturally  occurring  process  of  the  body.Cerumen  impaction  may  cause  discomfort,  itching,  hearing  loss,  or  tinnitus.Cotton  swabs  should  not  be  used  as  they  can  worsen  cerumen  impaction  or  cause  trauma  to  the  tympanic  membrane.Home-treatment  options  for  cerumen  impaction  include  cerumenolytic  agents  and/or  irrigation.Foreign  objects  such  as  pen  caps,  tweezers,  or  paper  clips  should  not  be  inserted  in  the  ear  canal.  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/04/18
UR  - accesspharmacy.mhmedical.com/content.aspx?aid=1197540937
ER  -