Home > Treatment Recommendations > Adult Patients > Respiratory > Otitis externa > Invasive otitis externa

Invasive otitis externa

- Most cases occur in diabetics.

- CT or MRI scan recommended.

Usual Pathogens

P. aeruginosa

Empiric Therapy	Dose	Duration
Surgical debridement
+
Piperacillin-tazobactam	4.5g IV q6h	6-8 weeks IV+PO
+
Tobramycin	7mg/kg IV q24h

Stepdown

Empiric Therapy	Dose	Duration
Ciprofloxacin	750mg PO bid	6-8 weeks IV+PO