Zapalenie ucha zewnętrznego
Charakterystyka, pielęgnacja i opieka
Zapalenie ucha zewnętrznego (otitis externa) to stan zapalny kanału słuchowego zewnętrznego, najczęściej wywołany infekcją bakteryjną lub grzybiczą, często związany z ekspozycją na wilgotne środowisko, np. u osób pływających. Główne objawy to silny ból ucha nasilający się przy dotyku małżowiny, świąd, zaczerwienienie, obrzęk, wyciek ropy oraz przejściowe pogorszenie słuchu. Diagnostyka opiera się na badaniu otoskopowym, które pozwala ocenić stan kanału słuchowego i obecność wydzieliny. Leczenie polega na oczyszczeniu kanału słuchowego oraz stosowaniu kropli zawierających antybiotyk, steroid, roztwór o kwaśnym pH i ewentualnie środek przeciwgrzybiczy. W przypadku znacznego obrzęku stosuje się knot uszny (wick) ułatwiający penetrację leku, a w cięższych infekcjach – antybiotyki doustne. Dolegliwości bólowe łagodzi się lekami przeciwbólowymi, takimi jak paracetamol, ibuprofen czy naproksen, oraz ciepłymi kompresami.
- Definicja i przyczyny zapalenia ucha zewnętrznego
- Objawy kliniczne i diagnostyka
- Leczenie zapalenia ucha zewnętrznego
- Postępowanie pielęgnacyjne podczas leczenia
- Szczególne aspekty pielęgnacji u dzieci
- Zapobieganie zapaleniu ucha zewnętrznego
- Kiedy należy skontaktować się z lekarzem
- Powikłania nieleczonego zapalenia ucha zewnętrznego
- Szczególne przypadki i postępowanie
Definicja i przyczyny zapalenia ucha zewnętrznego
Zapalenie ucha zewnętrznego (łac. otitis externa), znane również jako „ucho pływaka” (ang. swimmer’s ear), jest stanem zapalnym lub infekcją kanału słuchowego zewnętrznego, czyli przejścia prowadzącego od małżowiny usznej do błony bębenkowej.12 Schorzenie to najczęściej jest wywoływane przez bakterie, choć może być również spowodowane przez grzyby.34
Nazwa „ucho pływaka” pochodzi stąd, że stan ten często występuje u osób, które dużo pływają, zwłaszcza w okresie letnim.4 Woda, która pozostaje w kanale słuchowym po pływaniu, tworzy wilgotne środowisko sprzyjające namnażaniu się bakterii i grzybów, co prowadzi do infekcji.56
Zapalenie ucha zewnętrznego może być również spowodowane przez inne czynniki, takie jak:47
- Uszkodzenie skóry kanału słuchowego przez patyczki kosmetyczne, spinki do włosów lub inne przedmioty wkładane do ucha
- Sucha skóra lub egzema
- Nadmierne drapanie kanału słuchowego
- Usunięcie naturalnej ochronnej warstwy woszczyny z ucha
Objawy kliniczne i diagnostyka
Głównym objawem zapalenia ucha zewnętrznego jest ból ucha, który może być bardzo silny i nasilać się przy dotykaniu lub pociąganiu za małżowinę uszną czy podczas żucia.46 Inne częste objawy to:
- Świąd w kanale słuchowym
- Zaczerwienienie i obrzęk kanału słuchowego
- Wyciek wydzieliny lub ropy z ucha
- Uczucie pełności lub zatkania w uchu
- Przejściowe pogorszenie słuchu
- Powiększone i bolesne węzły chłonne w okolicy szyi
Diagnoza zapalenia ucha zewnętrznego jest zazwyczaj stawiana podczas wizyty lekarskiej. Lekarz bada ucho za pomocą otoskopu (narzędzia do badania ucha z oświetleniem), co pozwala mu ocenić stan kanału słuchowego i zidentyfikować oznaki zapalenia, takie jak obrzęk, zaczerwienienie czy wydzielina.18
Leczenie zapalenia ucha zewnętrznego
Oczyszczenie kanału słuchowego
Pierwszym krokiem w leczeniu zapalenia ucha zewnętrznego jest dokładne oczyszczenie kanału słuchowego. Pomaga to w usunięciu wydzieliny, nagromadzonej woszczyny, złuszczonego naskórka i innych zanieczyszczeń, co ułatwia penetrację kropli do ucha.1 Zabieg ten powinien być wykonany przez specjalistę, który używa ssaka lub specjalnego narzędzia zwanego łyżeczką uszną.10
Leczenie farmakologiczne
Najczęściej stosowanym leczeniem zapalenia ucha zewnętrznego są krople do uszu, które zawierają kombinację następujących składników:13
- Antybiotyk – do zwalczania bakterii
- Steroid – do zmniejszenia obrzęku i stanu zapalnego
- Roztwór o kwaśnym pH – do przywrócenia naturalnej ochrony ucha
- Środek przeciwgrzybiczy – w przypadku infekcji grzybiczej
W przypadku znacznego obrzęku kanału słuchowego, który utrudnia penetrację kropli, lekarz może umieścić w uchu specjalny knot (tzw. wick) – mały fragment gąbki lub taśmy z gazy, który pomaga w dostarczeniu leku do głębszych części kanału słuchowego.10711
W ciężkich przypadkach lub gdy infekcja rozprzestrzenia się poza kanał słuchowy, lekarz może przepisać antybiotyki doustne.712
Leczenie przeciwbólowe
Do uśmierzenia bólu związanego z zapaleniem ucha zewnętrznego można stosować leki przeciwbólowe dostępne bez recepty, takie jak:1013
- Paracetamol (np. Tylenol)
- Ibuprofen (np. Advil, Motrin)
- Naproksen (np. Aleve)
Dodatkowo ulgę w bólu może przynieść przyłożenie ciepłego kompresu do ucha.1012
Postępowanie pielęgnacyjne podczas leczenia
Utrzymanie suchości uszu
Podczas leczenia zapalenia ucha zewnętrznego kluczowe jest utrzymanie uszu w suchości, aby wspomóc proces gojenia.1 Zaleca się:
- Unikanie pływania i nurkowania przez 7-10 dni od rozpoczęcia leczenia1415
- Nienoszenie zatyczek do uszu, aparatów słuchowych ani słuchawek dousznych do momentu ustąpienia bólu i wycieku1
- Zabezpieczanie uszu podczas kąpieli pod prysznicem lub w wannie przy pomocy wacika posmarowanego wazeliną114
- Ostrożne suszenie uszu suszarką do włosów ustawioną na niską temperaturę po każdym kontakcie z wodą13
Prawidłowe stosowanie kropli do uszu
Aby leczenie kropelkami do uszu było skuteczne, należy je stosować zgodnie z zaleceniami lekarza.10 Krople powinny być aplikowane bezpośrednio do kanału słuchowego, najlepiej gdy pacjent leży na boku z chorym uchem skierowanym ku górze.16 Warto pamiętać, że aplikacja kropli jest łatwiejsza, gdy wykonuje ją druga osoba.16
Czas trwania leczenia i obserwacja
Przy prawidłowym leczeniu większość przypadków zapalenia ucha zewnętrznego ustępuje w ciągu 7-10 dni.1718 Ważne jest jednak, aby dokończyć pełny kurs przepisanych antybiotyków, nawet jeśli objawy ustąpią wcześniej.7
Wizyty kontrolne są istotne, aby monitorować postępy leczenia, ponownie oczyścić kanał słuchowy jeśli to konieczne oraz wymienić knot uszny w razie potrzeby.17
Szczególne aspekty pielęgnacji u dzieci
Zapalenie ucha zewnętrznego często dotyka dzieci, szczególnie te, które spędzają dużo czasu na pływaniu.4 W przypadku dzieci należy zwrócić uwagę na następujące aspekty:
- Nie podawać aspiryny dzieciom poniżej 18 roku życia ze względu na ryzyko zespołu Reye’a19
- Pomóc dziecku w prawidłowym stosowaniu kropli do uszu20
- Monitorować stan dziecka i natychmiast zgłosić się do lekarza w przypadku pojawienia się gorączki, nasilenia bólu lub zwiększonego wycieku z ucha19
- Przestrzegać zasad higieny uszu – nie pozwalać dziecku czyścić uszu samodzielnie7
Zapobieganie zapaleniu ucha zewnętrznego
Aby zmniejszyć ryzyko wystąpienia zapalenia ucha zewnętrznego, warto stosować się do następujących zaleceń:212
- Utrzymywać uszy w suchości – po pływaniu czy kąpieli przechylać głowę na boki, aby pomóc wodzie wydostać się z kanału słuchowego2
- Używać zatyczek do uszu lub czepka podczas pływania12
- Unikać pływania w zanieczyszczonej wodzie11
- Nie wkładać żadnych przedmiotów do uszu, w tym patyczków kosmetycznych2
- Po pływaniu stosować roztwór z równych części alkoholu i octu białego jako krople do uszu (jeśli nie ma przeciwwskazań)211
- Chronić uszy przed kontaktem z lakierami do włosów, szamponami i innymi produktami chemicznymi12
Kiedy należy skontaktować się z lekarzem
Należy skonsultować się z lekarzem w przypadku wystąpienia następujących objawów:1321
- Ból ucha, z gorączką lub bez
- Nowy lub nasilający się ból, obrzęk, zaczerwienienie wokół ucha lub za nim
- Nowy lub nasilający się wyciek ropy lub krwi z ucha
- Pogorszenie słuchu
- Objawy, które nie ustępują po 48 godzinach od rozpoczęcia leczenia
- Objawy, które utrzymują się dłużej niż 10 dni mimo stosowania przepisanych kropli do uszu
Powikłania nieleczonego zapalenia ucha zewnętrznego
Nieleczone zapalenie ucha zewnętrznego może prowadzić do poważnych powikłań, takich jak:2223
- Przejściowa utrata słuchu
- Nawracające infekcje ucha
- Uszkodzenie kości i chrząstki
- Zapalenie tkanek otaczających ucho (zapalenie tkanki łącznej)
- Rozprzestrzenienie się infekcji na kości czaszki
Dlatego tak ważne jest wczesne rozpoznanie i odpowiednie leczenie zapalenia ucha zewnętrznego.21
Szczególne przypadki i postępowanie
Przewlekłe zapalenie ucha zewnętrznego
Osoby z przewlekłym zapaleniem ucha zewnętrznego mogą wymagać długotrwałego lub powtarzanego leczenia.11 W takich przypadkach ważne jest ścisłe przestrzeganie zaleceń lekarza i regularne wizyty kontrolne, aby zapobiec komplikacjom.11
Zapalenie ucha zewnętrznego u osób z perforacją błony bębenkowej
U pacjentów z perforacją błony bębenkowej lub z założonymi dreniczkami wentylacyjnymi należy zachować szczególną ostrożność przy stosowaniu kropli do uszu.24 Niektóre antybiotyki są bezpieczne do stosowania nawet w przypadku perforacji lub obecności drenów, jednak zawsze należy skonsultować to z lekarzem.24
Ochrona uszu u osób często pływających
Osoby, które często pływają, powinny stosować dodatkowe środki ostrożności:14
- Używać kropli do uszu po pływaniu (dostępnych bez recepty w aptekach)14
- Nosić odpowiednio dopasowane zatyczki do uszu podczas pływania25
- Dokładnie osuszać uszy po każdym kontakcie z wodą25
Zapalenie ucha zewnętrznego jest schorzeniem, które przy właściwym leczeniu i pielęgnacji zazwyczaj ustępuje bez powikłań. Kluczowe jest wczesne rozpoznanie objawów, odpowiednie leczenie oraz stosowanie się do zaleceń dotyczących utrzymania suchości uszu podczas i po zakończeniu terapii.
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Materiały źródłowe
- #1 Swimmer’s ear – Diagnosis & treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/swimmers-ear/diagnosis-treatment/drc-20351688
A healthcare professional usually can diagnose swimmer’s ear during an office visit. An advanced or lasting infection might need more testing. […] The goal of treatment is to stop the infection and let the ear canal heal. […] Cleaning the outer ear canal helps ear drops get to all infected areas. A healthcare professional will use a suction device or ear curet to clean away discharge, clumps of earwax, flaky skin and other debris. […] Most often, ear drops that have a mix of the following can treat the infection: An acidic solution to help restore the ear’s natural defenses. A steroid to reduce swelling and irritation, called inflammation. An antibiotic to fight bacteria. An antifungal medicine to fight infection caused by a fungus. […] During treatment, keep your ears dry to help them heal. Don’t swim or go scuba diving. Don’t wear an earplug, a hearing aid or earbuds until pain and discharge stop. Don’t get water in your ear canal when showering or bathing. Use a cotton ball coated with petroleum jelly to protect your ear during a shower or bath.
- #2 Swimmer’s ear – Symptoms & causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/swimmers-ear/symptoms-causes/syc-20351682
Swimmer’s ear is an infection in the outer ear canal. Swimmer’s ear also is called otitis externa. Ear drops usually can treat swimmer’s ear. Treating swimmers ear quickly can help prevent complications and more-serious infections. […] Make an appointment to get medical help for even mild symptoms of swimmer’s ear. […] Swimmer’s ear is an infection that’s usually caused by bacteria. […] Follow these tips to avoid swimmer’s ear: Keep ears dry. After swimming or bathing, tip your head from side to side with the ear on each side facing down. This helps water drain from the ear canal. […] If you know you don’t have a punctured eardrum, you can make ear drops by mixing 1 part white vinegar to 1 part rubbing alcohol. Using this mixture helps the ear dry and prevents the growth of bacteria and fungi. […] Don’t put objects in your ear. Never try to scratch an itch or dig out earwax with items such as a cotton swab, paper clip or hairpin. Using these items can drive debris deeper into the ear canal, disturb the skin inside the ear or break the skin.
- #3 Swimmer’s Ear (Otitis Externa): Symptoms & Carehttps://my.clevelandclinic.org/health/diseases/8381-swimmers-ear-otitis-externa
Swimmers ear (also called otitis externa) is an ear infection in your ear canal, the pathway between your outer ear and your middle ear. Healthcare providers treat swimmers ear with ear drops that eliminate the infection. […] Left untreated, swimmers ear may muffle your hearing. In some cases, it can even cause temporary hearing loss. Most of the time, treatment solves any infection-related hearing issues. Healthcare providers treat swimmers ear with ear drops. […] In most cases, healthcare providers prescribe ear drops to eliminate the infection. Depending on your situation, your provider might recommend these medications for otitis externa: Antibiotic ear drops to fight bacteria. Antifungal ear drops to fight fungi. Steroid ear drops to reduce inflammation. […] Yes, keeping your ears dry is the most effective way to prevent swimmers ear.
- #4 Swimmer’s Ear (Otitis Externa) (for Parents) | Nemours KidsHealthhttps://kidshealth.org/en/parents/swimmer-ear.html
Swimmer’s ear is an infection of the ear canal, the passage that carries sounds from the outside of the body to the eardrum. It can be caused by different types of germs. […] Swimmer’s ear (or otitis externa) is common in kids who spend a lot of time in the water. Too much moisture in the ear can irritate the skin in the canal, letting bacteria or fungi get in. It happens most often in summertime, when swimming is common. […] Anything that injures the skin of the ear canal can lead to an infection. Dry skin or eczema, scratching the ear canal, ear cleaning with cotton swabs, or putting things like bobby pins or paper clips into the ear can all increase the risk of otitis externa. […] Ear pain is the main sign of swimmer’s ear. It can be severe and gets worse when the outer part of the ear is pulled or pressed on. It also may be painful to chew. Sometimes the ear canal itches before the pain begins.
- #5 Preventing Swimmer’s Ear | Healthy Swimming | CDChttps://www.cdc.gov/healthy-swimming/prevention/preventing-swimmers-ear.html
Swimmers ear is a bacterial infection caused by water that stays in the outer ear canal for a long period of time, providing a moist environment for bacteria to multiply. […] Swimmer’s ear can be treated with antibiotic ear drops. […] Check with your healthcare provider if you have ear pain or drainage from the ear.
- #6 Otitis externa: Get rid of swimmer’s ear | University of Iowa Health Carehttps://uihc.org/health-topics/otitis-externa-get-rid-swimmers-ear
Otitis externa is the clinical term for swimmer’s ear. […] Swimmer’s ear is the inflammation of the canal joining the eardrum to the external ear. Moisture water and different kinds of bacteria get trapped in the ear canal. The ear canal gets red and sore and swells up from the irritation. […] Pain is often the first sign of otitis externa. When someone feels their ear is plugged and painful, they may see their physician. Pain is usually experienced while chewing or by tugging on the earlobes. […] Swimmer’s ear is usually treated with antibiotics, either in the form of pills or ear drops. […] The best way to avoid otitis externa is to keep ears clean and dry. If the problem is persistent, wearing properly fitting earplugs while in the water is also a possible treatment. Adults should make sure to watch out for swimmer’s ear in children, as they may not be able to recognize the symptoms.
- #7 Swimmer’s Ear (Otitis Externa) (for Parents) | Nemours KidsHealthhttps://kidshealth.org/en/parents/swimmer-ear.html
Using over-the-counter drops of a dilute solution of acetic acid or alcohol in the ears after swimming can help prevent swimmer’s ear, especially in kids who get it a lot. […] To avoid injuring an ear, young kids should not clean their ears themselves. Also, never put objects into kids’ ears, including cotton-tipped swabs. Dry ears after they get wet using a hair dryer on the cool setting. […] Treatment depends on how severe the infection is and how painful it is. A health care provider might prescribe ear drops that contain antibiotics to fight the infection, possibly mixed with a medicine to reduce swelling of the ear canal. […] If a swollen ear canal makes it hard to put in the drops, the doctor may insert a tiny sponge called a wick to help carry the medicine inside the ear. […] For more severe infections, health care providers may prescribe antibiotics taken by mouth and might want to run tests on discharge from the ear to find which bacteria or fungi are causing the problem.
- #8 Pediatric Swimmer’s Ear – Conditions and Treatments | Children’s National Hospitalhttps://www.childrensnational.org/get-care/health-library/otitis-externa-swimmers-ear
Swimmer’s ear, also called otitis externa, is an inflammation caused by infection of the external ear canal. […] Swimmers ear can cause the following symptoms: Redness of the outer ear, Itching in the ear, Pain, especially when touching or wiggling the ear lobe, Drainage from the ear, Swollen glands in the neck, Swollen ear canal, Muffled hearing or hearing loss, Full or plugged-up feeling in the ear. […] Treatment may include: Antibiotic ear drops, Corticosteroid ear drops, Pain medicine, Keeping the ear dry. […] Your child’s healthcare provider will ask questions about your child’s health history and current symptoms. They will examine your child, including the ears. The provider may use a lighted tool called an otoscope to look in your child’s ear. […] Treatment will depend on your child’s symptoms, age, and general health. It will also depend on how severe the condition is.
- #9 What doctors wish patients knew about swimmerâs ear | American Medical Associationhttps://www.ama-assn.org/delivering-care/population-care/what-doctors-wish-patients-knew-about-swimmer-s-ear
With swimmers ear, the most common symptom is pain, especially with movement of the ear, Dr. Ahmed said. […] There can also be itching associated with it, a sensation of fullness and oftentimes therell be some drainage associated with it as well, she said. […] It usually happens within several days to a week of daily swimming or getting the ear wet without making efforts to dry out the ear canal, Dr. Eisert said. […] While swimmers ear is not contagious to other people children who swim together every day can experience the same problem at the same time, said Dr. Eisert. […] We always see a surge of swimmers ear over the summer, Dr. Spence said, noting that the ear canal produces cerumenwhich is waxand that provides water protection, similar to the wax on your car. […] In the summer with just constant water exposureparticularly in kids because their ear canal doesn’t drain as well because it’s so smallyou get water that just sits there, pools up in the ear canal more commonly, he explained.
- #10 Treatment for Swimmer’s Ear | Stanford Health Carehttps://stanfordhealthcare.org/medical-conditions/ear-nose-and-throat/otitis-externa/treatments.html
Follow these tips when treating swimmer’s ear: […] If your doctor prescribed eardrops, use them as directed. […] Talk with your doctor before putting anything in your ear. […] Avoid getting water in the ear until after the problem clears up. […] Use a hair dryer to carefully dry the ear after you shower. […] Take an over-the-counter pain medicine like acetaminophen (such as Tylenol), ibuprofen (such as Advil or Motrin), or naproxen (such as Aleve). […] Some home treatment can help swimmer’s ear. But it is important to see a doctor first. […] If your ear is itchy, try nonprescription swimmer’s eardrops, such as Swim-Ear. […] To ease ear pain, apply a warm washcloth or a heating pad set on low. […] In severe cases, the ear canal should be carefully cleaned out by an ear specialist. […] Sometimes, if the ear canal is very swollen, a wick with antibiotic drops will be placed in the ear canal. […] Do not use ear candles. They have no proven benefit, and they can cause harm.
- #11 FloridaHealthFinder | Swimmer’s ear | Health Encyclopedia | FloridaHealthFinderhttps://quality.healthfinder.fl.gov/health-encyclopedia/HIE/1/000622
Swimmer’s ear is inflammation, irritation, or infection of the outer ear and ear canal. The medical term for swimmer’s ear is otitis externa. […] In most cases, you will need to use antibiotic ear drops for 10 to 14 days. If the ear canal is very swollen, a wick may be put into the ear. The wick will allow the drops to travel to the end of the canal. Your provider can show you how to do this. […] People with chronic swimmer’s ear may need long-term or repeated treatment. This will avoid complications. […] Contact your provider if: You develop any symptoms of swimmer’s ear […] These steps can help protect your ears from further damage: DO NOT scratch the ears or insert cotton swabs or other objects in the ears. Keep ears clean and dry, and DO NOT let water enter the ears when showering, shampooing, or bathing. Dry your ear very well after it has gotten wet. Avoid swimming in polluted water. Use earplugs when swimming. Try mixing 1 drop of alcohol with 1 drop of white vinegar and placing the mixture into the ears after they get wet. The alcohol and acid in the vinegar help prevent bacterial growth.
- #12 Swimmer’s ear | Better Health Channelhttps://www.betterhealth.vic.gov.au/health/conditionsandtreatments/swimmers-ear
Swimmer’s ear is an infection or inflammation of the canal between the eardrum and the outer ear. […] Treatment options include antibiotics, anti-fungal preparations and keeping the infected ear dry. […] Treatment for swimmer’s ear depends on the severity of the infection and the type of infectious agent, but may include: Thorough cleaning and drainage of the ear canal, Measures to keep the ear canal dry, such as using earplugs or a shower cap while bathing, Painkillers, Heat packs held to the ear, Anti-fungal preparations, Antibiotic ear drops, Steroid-based ear drops, A wick inserted into the ear canal to deliver medicated drops close to the eardrum, Oral antibiotics, Intravenous antibiotics, Surgery, to treat and drain infected skull bones. […] Suggestions to reduce the risk of swimmer’s ear include: Avoid swimming in dirty or polluted waters, Wear earplugs when you swim, Dry your ears thoroughly after exposure to water, To make sure that ear canals are completely dry, use a couple of drops of one part alcohol and one part vinegar in each ear, Plug your ears with cotton wool when using hair spray, shampoo or other chemical products, Don’t be too enthusiastic about cleaning your ears, Avoid poking your fingers in your ears, because fingernails can cut the skin of the ear canal.
- #13https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=te8205
Do not insert eardrops (other than the antibiotic eardrops) or anything else into the ear unless your doctor has told you to. […] Avoid getting water in the ear until the problem clears up. Use cotton lightly coated with petroleum jelly as an earplug. Do not use plastic earplugs. […] Use a hair dryer set on low to carefully dry the ear after you shower. […] To ease ear pain, hold a warm face cloth against your ear. […] Take pain medicines exactly as directed. […] If the doctor gave you a prescription medicine for pain, take it as prescribed. […] If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have a new or higher fever. […] You have new or worse pain, swelling, warmth, or redness around or behind your ear. […] You have new or increasing pus or blood draining from your ear. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You are not getting better after 2 days (48 hours).
- #14 Patient education: External otitis (including swimmer’s ear) (Beyond the Basics) – UpToDatehttps://www.uptodate.com/contents/external-otitis-including-swimmers-ear-beyond-the-basics/print
During treatment, you should avoid getting the inside of your ears wet. While showering, you can place a cotton ball coated with petroleum jelly in the ear. However, you should not swim for 7 to 10 days after starting treatment. Avoid wearing hearing aids and in-ear headphones until pain improves. […] If you swim frequently, experts recommend the following tips to reduce the chance of developing external otitis. […] Use ear drops after swimming to prevent ear infections; these are available at most pharmacies without a prescription.
- #15 Patient education: External otitis (including swimmer’s ear) (Beyond the Basics) – UpToDatehttps://www.uptodate.com/contents/external-otitis-including-swimmers-ear-beyond-the-basics
During treatment, you should avoid getting the inside of your ears wet. While showering, you can place a cotton ball coated with petroleum jelly in the ear. However, you should not swim for 7 to 10 days after starting treatment. Avoid wearing hearing aids and in-ear headphones until pain improves. […] If you swim frequently, experts recommend the following tips to reduce the chance of developing external otitis. […] Use ear drops after swimming to prevent ear infections; these are available at most pharmacies without a prescription.
- #16 Swimmerâs Ear (Otitis Externa) – ENT Healthhttps://www.enthealth.org/conditions/swimmers-ear-otitis-externa/
Swimmers ear (also called acute otitis externa) is a painful condition that affects the outer ear and ear canal that is caused by infection, inflammation, or irritation. […] Your primary care provider or ENT (ear, nose, and throat) specialist, or otolaryngologist, will prescribe treatment to reduce your pain and to treat the infection. […] Swimmers ear needs to be treated to reduce pain and eliminate any effect it may have on your hearing, as well as to prevent the spread of infection. […] Treatment for the early stages of swimmers ear includes careful cleaning of the ear canal and use of eardrops that inhibit bacterial or fungal growth and reduce inflammation. […] Drops are more easily administered if done by someone other than the patient, and the patient should lie down with the affected ear facing upwards.
- #17 Swimmerâs Ear (Otitis Externa) – ENT Healthhttps://www.enthealth.org/conditions/swimmers-ear-otitis-externa/
For more severe infections, your doctor may prescribe antibiotics to be applied directly to the ear. […] Follow-up appointments are very important to monitor your condition, to clean the ear again, and to replace the ear wick as needed. […] With proper treatment, most infections should clear up in seven to 10 days. […] A dry ear is unlikely to become infected, so it is important to keep the ears free of moisture during swimming or bathing.
- #18 Otitis Externa (Swimmerâs Ear): Causes, Symptoms and Treatmenthttps://www.nationwidechildrens.org/conditions/otitis-externa-swimmers-ear
Swimmers ear, also called otitis externa (oh TIE tis ex TER nuh), is an infection of the skin in the outer ear canal. […] Your childs doctor will examine your childs ears and gently clean them. […] An antibiotic (an ti by AH tik) ear medicine, typically a topical ear drop, may be prescribed to fight the infection and lessen itching and swelling. […] Warm compresses (packs) may help to ease the pain. […] Keep the ear as dry as possible for 7 to 10 days. […] Your child should avoid swimming until the ear is completely pain-free. […] Call your childs doctor if he or she has any of the following: Pain that is not eased by eardrops or heat or that lasts more than 2 days.
- #19https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abn0642
Do not give aspirin to anyone younger than 18. It has been linked to Reye syndrome, a serious illness. […] Call your doctor or nurse advice line now or seek immediate medical care if: Your child has a new or higher fever. […] Your child has new or worse pain, swelling, warmth, or redness around or behind the ear. […] Your child has new or increasing pus or blood draining from the ear. […] Watch closely for changes in your child’s health, and be sure to contact your doctor or nurse advice line if: Your child does not get better after 2 days (48 hours).
- #20https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abn0642
Use antibiotic drops as your doctor directs. […] Do not insert eardrops (other than the antibiotic eardrops) or anything else into your child’s ear unless your doctor has told you to. […] Avoid getting water in your child’s ear until the problem clears up. Use cotton lightly coated with petroleum jelly as an earplug. Do not use plastic earplugs. […] Use a hair dryer to carefully dry the ear after your child showers. Make sure the dryer is on the lowest heat setting. […] To ease ear pain, hold a warm face cloth against your child’s ear. […] Be safe with medicines. Read and follow all instructions on the label. […] If the doctor gave your child a prescription medicine for pain, give it as prescribed. […] If your child is not taking a prescription pain medicine, ask your doctor if your child can take an over-the-counter medicine.
- #21 Swimmer’s Ear (Otitis Externa): Symptoms & Carehttps://my.clevelandclinic.org/health/diseases/8381-swimmers-ear-otitis-externa
Schedule an appointment with your healthcare provider if you develop any swimmers ear symptoms like ear pain, drainage, itchiness or muffled hearing. If a healthcare provider has already prescribed ear drops for a swimmers ear infection, call them if you still have symptoms 10 days later. You might need a stronger medication. […] Swimmers ear usually isnt serious when you get treatment. In most cases, you can expect the infection to go away in about a week. Without treatment, complications like the spread of infection can occur. These complications usually require stronger antibiotics or antifungals.
- #22 Pediatric Swimmer’s Ear – Conditions and Treatments | Children’s National Hospitalhttps://www.childrensnational.org/get-care/health-library/otitis-externa-swimmers-ear
Swimmers ear, when correctly treated by a healthcare provider, often clears up in 7 to 10 days. Treatment may include: Antibiotic ear drops, Corticosteroid ear drops, Pain medicine, Keeping the ear dry. […] Complications of swimmers ear include: Short-term (temporary) hearing loss from a swollen and inflamed ear canal, Ear infections that keep coming back, Bone and cartilage damage, Infection of the tissue around the ear, Infections that spread from the ear to the bones of the head or skull.
- #23 What doctors wish patients knew about swimmerâs ear | American Medical Associationhttps://www.ama-assn.org/delivering-care/population-care/what-doctors-wish-patients-knew-about-swimmer-s-ear
Untreated, swimmers ear can lead to infection of the surrounding tissues including the skin or skull, he said. […] We dont recommend swimming for the entire time that youre using the ear drops, so thats about seven to 10 days, Dr. Ahmed said, noting our swimmers hate that. […] Pain control with Tylenol [acetaminophen] or ibuprofen can be effective in helping with the discomfort and should be used to aid in sleeping at nighttime if pain is significant, Dr. Eisert said. […] To prevent swimmers ear, one of the things that I tell all of my kids who spend time in the poolwhich in Austin is all day, every dayis try to dry your ears after you get out of the water, Dr. Ahmed said. […] There is no need to clear wax from the ear. […] We don’t recommend anyone ever usingespecially in kidsQ-tips to clean out the ear because that ends up just pushing the wax further in there and you can get an impaction that way, said Dr. Spence. […] The sooner you start treatment, the quicker the resolution of swimmers ear, Dr. Spence said, noting Ive had swimmers here before and I was surprised how painful it was for them.
- #24 How to Get Rid of Swimmerâs Ear â Children’s Healthhttps://www.childrens.com/health-wellness/how-to-get-rid-of-swimmers-ear
Swimmer’s ear may resolve on its own but is typically treated with antibiotic drops. […] If the pain does not improve after starting antibiotic ear drops, evaluation by your pediatrician or ENT is very important. […] Many antibiotics are safe to place in the ear, even if there is a perforation or a child has ear tubes. […] In some cases, your child’s ear canal may be so swollen that the drops cannot get to the site of the infection. […] Your child may need to see an ear, nose and throat physician who can clean out any debris or place a wick. […] No matter if you choose antibiotics or a home remedy, you should keep your child’s ear dry while they are fighting swimmer’s ear. […] „We recommend against baths and swimming with an outer ear infection,” she says. „When your child does need to bathe, we recommend a shower and to take a big cotton ball, cover it in Vaseline and then put it on the opening of the ear to keep water from getting in.” […] Dr. Lenes-Voit says parents should also seek out medical advice if the infection is not improving or getting worse.
- #25 Understanding Swimmerâs Ear | UNC Health Talkhealth wellnessstethoscopeStorieshealth wellnessstethoscopeStoriestwitter-iconfacebook-iconpinterest-iconemail-iconhealth wellnessstethoscopeStoriesfacebooktwitteryoutubepinterestinstagramLinkedInhttps://healthtalk.unchealthcare.org/understanding-swimmers-ear/
Swimmerâs ear peaks in the summer months, when people are more likely to go swimming, but you can get it without ever going in the water. […] Each year, millions of people in the United States see a doctor or another health care provider to get treatment for a painful ear infection called acute otitis externa. […] In most cases, swimmerâs ear can be treated with a careful cleaning of the ear canal (which should be done by a health care professional) and prescription eardrops that inhibit bacterial or fungal growth and reduce inflammation. […] If left untreated, swimmerâs ear can lead to more serious problems, such as a deep tissue infection called cellulitis, or to bone and cartilage damage. […] To reduce your risk of swimmerâs ear, the Centers for Disease Control and Prevention recommends that you keep your ears as dry as possible when swimming by wearing a bathing cap, earplugs or custom-fitted swim molds.