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Improving standards in the treatment of acute otitis externa by the use of a treatment protocol and open access to aural toilet

Published online by Cambridge University Press:  08 March 2006

P. A. Tierney ,
T. Price ,
D. Gillet ,
M. O. Oyarzabal  and
N. Salama
P. A. Tierney
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Hospital, Lewisham, London, UK.
T. Price
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Hospital, Lewisham, London, UK.
D. Gillet
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Hospital, Lewisham, London, UK.
M. O. Oyarzabal
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Hospital, Lewisham, London, UK.
N. Salama
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Hospital, Lewisham, London, UK.
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Abstract

A prospective audit of the procedure and outcome in the management of acute otitis externa was undertaken in our unit. The first cycle demonstrated a heterogeneous approach and clinical isolation of junior staff. A questionnaire survey of local general practitioners highlighted clinical confusion over the use of topical medication and a need for improved access to facilities for aural toilet. General practitioner liaison and education was an essential component in formulating a change in practice. In particular, open access for aural toilet was introduced and utilization encouraged. Following changes in practice, the second cycle of the audit showed that treatment protocols were effective and adhered to by junior staff.

Keywords

Medical AuditOtitis Externa
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 115 , Issue 2 , February 2001 , pp. 87 - 90
Copyright
© Royal Society of Medicine Press Limited 2001

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