Comparison of Acetic Acid Verses Topical Antibiotics for Otorrhea Resolution in Active CSOM-A Randomized Control Trial

Abstract

Introduction: Chronic Suppurative Otitis Media (CSOM) is a long -standing middle ear infection causing hearing loss, often in developing countries. Treatment includes aural toilet, topical antibiotics, and antiseptics. Drug resistance and ototoxicity are concerns, with acetic acid as a potential alternative.

Study design: Randomized control trials.

Material and methods: Study was conducted in ENT Department of Rawalpindi Teaching hospital.

Results: A total of 186 patients with tubotympanic type of CSOM were randomly divided into two groups. In group A patients were treated with topical acetic acid while in group B patients were treated with topical Gentamycin ear drops.

Conclusion: This study concluded that both acetic acid and topical gentamicin are effective in resoling otorrhea but acetic acid presented as viable alternative especially for those with concerns about ototoxicity or antibiotics resistance.