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Rosenfeld et al
Conversely, when acute TTO occurs after water exposure
(bathing, head dunking, underwater swimming) or in older
children, it is often caused by external auditory canal patho-
gens such as
P aeruginosa
and
S aureus
.
120,121
Viral
co-infection is often present when young children present
with acute TTO.
122
Three RCTs have compared topical antibiotic eardrops
(ofloxacin, ciprofloxacin, or ciprofloxacin-dexamethasone) to
Figure 7.
Sample education sheet (page 1) for tympanostomy tube care, which may be modified to suit individual needs.
194