Treatment

Aural toilet at least once a week (ear suctioning under direct vision using microscope or (endoscope).

Instruct the patient to keep the ear dry and avoiding scratching

Ciprofloxacin ear drops 2 to 4drops each ear 6 to 8hourly for 14days. OR

Cream with combination of gentamicin or Neomycin+ Clobetasol or betamethasone or beclomethasone + miconazole or clotrimazole. Apply pea size in external auditory canal once per week for 4 to 6weeks. OR

Chloramphenicol+beclomethasone dipropionate+ clotrimazole + lignocaine ear drops 2 to 3drops each ear 6 to 8hourly for 14days. AND

Ciprofloxacin (PO) 500mg Adults and children above 12 years 12 hourly 7 to 14 day OR

Amoxycillin +clavulanate (FDC) (PO) Adult 625mg to 1g 12hourly: Pediatrics ≤ 3 month ,30mg/kg/day in 2 divided doses. Pediatrics˃ 25mg/kg/day in 2 divided doses for 7-14days AND

Paracetamol (PO) Adult 1g: Pediatric ≤ 10kg 10mg/kg 4. Pediatrics >15mg/kg 6 to 8 hourly as needed. OR

Ibuprofen (PO) 200 mg to 400mg 8 hourly as needed. Pediatrics ≥ 6 months: 5mg to 10mg/kg 4 to 8hourly as needed OR

Diclofenac+ paracetamol (PO)(FDC)Adults: 50mg diclofenac and 500mg paracetamol 4 to 8hourly as needed.