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Research ArticleOriginal Article
Open Access

Prophylactic ciprofloxacin drops after tympanostomy tube insertion

Omer Nawasreh and Ibrahim A. Al-Wedyan
Saudi Medical Journal January 2004, 25 (1) 38-40;
Omer Nawasreh
ENT Specialist, PO Box 339, Al-Husn, Jordan. Tel. +962 (2) 7010975/795917432. E-mail: [email protected]
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Ibrahim A. Al-Wedyan
Department of Otolaryngology, Prince Rashid Ben Al-Hasan Hospital, Al-Husn, Jordan.
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Abstract

OBJECTIVE: To evaluate the effectiveness of prophylactic ciprofloxacin drops in decreasing the incidence of post-tympanostomy otorrhea, and the relation between middle ear content and post-tympanostomy otorrhea.

METHODS: One hundred and fifty patients aged 3-14 years underwent tympanostomy and tube insertion at the Prince Rashid Ben Al-Hasan Hospital, Al-Husn, Jordan during the interval between February 2000 to January 2003. The patients were randomized into 3 groups: group 1 (control group) received no antibiotic drops, group 2 received a single dose of ciprofloxacin drops intraoperatively and group 3 received an intraoperative dose followed by 5-day postoperative course.

RESULTS: Application of topical ciprofloxacin after tympanostomy tube insertion was associated with a significantly lower incidence of early post-tympanostomy otorrhea. The rate of otorrhea for the control group was 16.5% and the treatment groups were (group 1) 8.4%, (group 2) 8.2% and p=0.011. A single dose of antibiotics was effective when patient's middle ears were dry or had serous effusions. For those whose ears had mucoid or purulent content a 5-day course was indicated.

CONCLUSION: Topical administration of a single dose of ototopical ciprofloxacin after surgery is an effective treatment for the prevention of early post-tympanostomy otorrhea, and a prolonged course (5 days) may be indicated for those whose ears had purulent or thick mucoid contents, and the content of middle ear are important in predicating postoperative otorrhea.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 25 (1)
Saudi Medical Journal
Vol. 25, Issue 1
1 Jan 2004
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Prophylactic ciprofloxacin drops after tympanostomy tube insertion
Omer Nawasreh, Ibrahim A. Al-Wedyan
Saudi Medical Journal Jan 2004, 25 (1) 38-40;

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Prophylactic ciprofloxacin drops after tympanostomy tube insertion
Omer Nawasreh, Ibrahim A. Al-Wedyan
Saudi Medical Journal Jan 2004, 25 (1) 38-40;
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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