Modern approaches to the treatment of external otitis of various ethiologies
Turovsky A.B., Popova I.A., Shadrin G.B.

Scientific Research Clinical Institute of Otorhinolaryngology named after L.I. Sverzhevsky, Moscow

In the outpatient department the specific gravity of patients with external otitis amounts up to 50%, besides there is a tendency of increasing the morbidity among all age groups. According to the ethiologic factor, otitis externa may be viral, bacterial, fungal, allergic, idiopathic. The article discusses, in addition to ethiopathogenetic aspects, the features of the clinic, as well as the issues of diagnostics and differential diagnosis of external otitis and other diseases, for example, acute middle otitis, mastoiditis, bullous form of erysipelas of the external ear, chondroperichondritis of the auricle, etc.
The therapeutic tactics for external otitis is described taking into account the clinical picture and the nature of the pathogenic microflora. At the same time, the treatment is mainly based on the initial empirical use of systemic and local anti-inflammatory drugs, and broad spectrum antibiotics with a high level of bioavailability and safety. Particular attention is paid to the role of combined local preparations, such as Anauran, which includes two antibacterial components (polymyxin B and neomycin sulfate), as well as a local anesthetic (lidocaine). Anauran, which has a powerful antimicrobial effect, is the drug of choice for the treatment of external otitis.

Key words: external otitis, etiotropic therapy, topical combined antibacterial drugs.
For citation: Turovsky A.B., Popova I.A., Shadrin G.B. Modern approaches to the treatment of external otitis of various ethiologies // RMJ. 2017. № 6. P. 420–423.