2015 HSC Section 1 Book of Articles

Rosenfeld et al

Figure 7. Sample education sheet (page 1) for tympanostomy tube care, which may be modified to suit individual needs.

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

194