BACKGROUND: Otomycosis is a superficial mycotic infection of the external auditory canal. The infection may be either subacute or chronic in nature. Otomycosis occurs worldwide but is more common in tropical and subtropical countries. Fungal agents most commonly causing otomycosis are Aspergillus niger, Candida albicans, Aspergillus flavus, Aspergillus fumigatus, Candida parapsilosis, Penicillium, Mucor, Rhizopus, Absidia and Scopuloriopsis spp. Many agents have been recommended for treating otomycosis, but no preparation has been widely accepted. Vigorous cleaning of the external auditory canal remains the mainstay in treating otomycosis, along with usage of topical anti-fungal agents. OBJECTIVE: To compare the efficacy of chloroxylenol (Dettol) and chlorhexidine-cetrimide (savlon) with 1% clotrimazole+1% lidocaine ear drops. METHODS AND MATERIALS: Agar well diffusion method was used on the isolates obtained from uncomplicated clinically diagnosed otomycosis cases. RESULTS: The isolates, Aspergillus niger, Aspergillus flavus, Candida albicans, Candida glabrata and Candida parapsilosis were susceptible to undiluted concentration of dettol and not susceptible to savlon. CONCLUSION: Dettol can be used to reduce the fungal burden in the external auditory canal, and it should be followed by topical application of clotrimazole ear drops to cure the disease.
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