Choosing Wisely:

Don’t prescribe oral antibiotics for uncomplicated external otitis.

Rationale and Comments: Oral antibiotics have significant adverse effects and have been shown to be no more effective than topical antibiotics. Avoidance of oral antibiotics can reduce the spread of antibiotic resistance and the risk of opportunistic infections.
Sponsoring Organizations:
  • American Academy of Otolaryngology–Head and Neck Surgery Foundation
  • Sources:
  • American Academy of Otolaryngology–Head and Neck Surgery Foundation practice guidelines
  • Disciplines:
  • Infectious disease
  • Otolaryngologic
  • References: • Rosenfeld RM, et al. Clinical practice guideline: acute otitis externa. Otolaryngol Head Neck Surg. 2006;134(4 suppl):S4-23.

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