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Otolaryngology–Head and Neck Surgery 149(1S)

systemic oral antibiotics (amoxicillin or amoxicillin-clavula-

nate) for treating acute TTO in children.

123-125

Superior out-

comes with topical therapy were achieved in some studies for

clinical cure,

123-125

bacterial eradication,

124

and patient satis-

faction.

124

Rates of clinical cure upon completion of therapy

after 7 to 10 days ranged from 77% to 96% with topical ther-

apy and from 30% to 67% with systemic antibiotic therapy.

Explanations for improved outcomes with topical antibiotic

therapy include increased drug concentration at the site of

infection and improved coverage of likely pathogens,

Figure 8.

Sample education sheet (page 2) for tympanostomy tube care, which may be modified to suit individual needs.

195