Invasive Otitis Externa

- Most cases occur in diabetics. Extremely rare in children.

- CT or MRI scan recommended.

 
Usual Pathogens

P. aeruginosa

 

Empiric Therapy Dose Duration
Surgical debridement    
+    
Piperacillin-tazobactam 240-300mg piperacillin/kg/d IV div q6-8h 6-8 weeks (IV+PO)
+    
Tobramycin 7mg/kg IV q24h  

Stepdown

Empiric Therapy Dose Duration
Ciprofloxacin 20-30mg/kg/d PO div bid 6-8 weeks (IV+PO)