Topical versus oral antibiotics, with or without corticosteroids, in the treatment of tympanostomy tube otorrhea

Chee, Jeremy; Pang, Khang Wen; Yong, Jui May; Ho, Roger; Ngo, Raymond Yeow Seng

doi:10.1016/j.ijporl.2016.05.008

Cited by 11 publications

(7 citation statements)

References 36 publications

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“…This provides a robust evidence base for the treatment of children with grommets who develop ear discharge beyond the immediate postoperative period. Our main findings are in agreement with a recently published review on this topic (Chee 2016), and with the clinical practice guideline 'Tympanostomy tubes in children' issued by the American Academy of Otolaryngology -Head and Neck Surgery (Rosenfeld 2013), but they are not in line with current National Institute for Health and Care Excellence (NICE) recommendations to treat this condition as an episode of acute otitis media (initial observation for uncomplicated disease and oral antibiotics for complicated or persisting disease) (NICE 2015).…”

Section: Agreements and Disagreements With Other Studies Or Reviewssupporting

confidence: 94%

Interventions for children with ear discharge occurring at least two weeks following grommet (ventilation tube) insertion

Venekamp

Javed

Dongen

et al. 2016

Cochrane Database of Systematic Reviews

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Section: Agreements and Disagreements With Other Studies Or Reviewssupporting

confidence: 94%

Interventions for children with ear discharge occurring at least two weeks following grommet (ventilation tube) insertion

Venekamp

Javed

Dongen

et al. 2016

Cochrane Database of Systematic Reviews

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“…This conclusion is congruent with 2 independent meta-analyses of studies that directly compared topical drops with oral antibiotics. 39,40 5…”

Section: Figurementioning

confidence: 99%

Prevention and Treatment of Tympanostomy Tube Otorrhea: A Meta-analysis

Steele

Adam²,

Di³

et al. 2017

Pediatrics

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“…5 Prior randomized controlled trials comparing topical and oral/systemic antibiotic therapy have demonstrated equivalent, if not superior, outcomes with topical otic drops compared to oral antibiotic therapy with regard to bacterial eradication and symptom resolution. [6][7][8] Hence, the objective of this study was to develop an effective, simple, and sustainable educational model to assist parents in understanding the signs and symptoms of TT otorrhea and how to independently institute the appropriate topical otic therapy.…”

Section: Introductionmentioning

confidence: 99%

Decreasing Telephone Calls for Tympanostomy Tube Otorrhea: A Pilot Study

2019

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The ''Clinical Practice Guideline: Tympanostomy Tubes in Children'' published in 2013 by the American Academy of Otolaryngology-Head and Neck Surgery Foundation encourages that an ''educational video, or other teaching aid, should be developed to illustrate how parents/caregivers'' may manage postoperative complications such as tube otorrhea; however, the current literature is devoid of such patient safety and quality improvement measures. Our objective was to develop an effective educational model to assist parents and caregivers in understanding the signs and symptoms of tympanostomy tube (TT) otorrhea and how to independently institute the appropriate otologic treatment. A 3.5 Â 2-inch instructional card was designed to illustrate TT otorrhea and describe the subsequent steps necessary to obtain and institute the appropriate medical therapy. This was distributed to caregivers of all patients undergoing TT placement in September 2016; patients undergoing TT placement in May 2016 served as the preintervention control cohort. Group comparisons were made before and after implementation of the educational model by number of telephone calls our clinic triaged regarding untreated TT otorrhea, as documented within the electronic medical record. A total of 30 sets of TT were placed in September 2016, compared to 27 sets of TT in May 2016. Postoperatively, a run chart revealed a significant shift (ie, 7 consecutive points) in the number of telephone calls received (16-5 calls) after establishment of the proposed educational model. This clinical experience demonstrates the utility of patient-driven management of TT otorrhea through ancillary educational material. Given the superiority of topical otic therapy, continued translation efforts are needed for continued focus on practice implementation and dissemination.

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Topical versus oral antibiotics, with or without corticosteroids, in the treatment of tympanostomy tube otorrhea

Cited by 11 publications

References 36 publications

Interventions for children with ear discharge occurring at least two weeks following grommet (ventilation tube) insertion

Interventions for children with ear discharge occurring at least two weeks following grommet (ventilation tube) insertion

Prevention and Treatment of Tympanostomy Tube Otorrhea: A Meta-analysis

Decreasing Telephone Calls for Tympanostomy Tube Otorrhea: A Pilot Study

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