Abstract | OBJECTIVE: DESIGN: Randomised controlled trial. SETTING: 79 general practices, Netherlands. PARTICIPANTS: MAIN OUTCOME MEASURES: PRIMARY OUTCOME: duration of symptoms (days) according to patient diaries. Secondary outcome: cure rate according to general practitioner completed questionnaires and recurrence of symptoms between days 21 and 42. RESULTS: Symptoms lasted for a median of 8.0 days (95% confidence interval 7.0 to 9.0) in the acetic acid group, 7.0 days (5.8 to 8.3) in the steroid and acetic acid group, and 6.0 days (5.1 to 6.9) in the steroid and antibiotic group. The overall cure rates at seven, 14, and 21 days were 38%, 68%, and 75%, respectively. Compared with the acetic acid group, significantly more patients were cured in the steroid and acetic acid group and steroid and antibiotic group at day 14 (odds ratio 2.4, 1.1 to 5.3, and 3.5, 1.6 to 7.7, respectively) and day 21 (5.3, 2.0 to 13.7, and 3.9, 1.7 to 9.1, respectively). Recurrence of symptoms between days 21 and 42 occurred in 29% (50/172) of patients and was seen significantly less in the steroid and acetic acid group (0.3, 0.1 to 0.7) and steroid and antibiotic group (0.4, 0.2 to 1.0) than in the acetic acid group. CONCLUSIONS:
|
Authors | Frank A M van Balen, W Martijn Smit, Nicolaas P A Zuithoff, Theo J M Verheij |
Journal | BMJ (Clinical research ed.)
(BMJ)
Vol. 327
Issue 7425
Pg. 1201-5
(Nov 22 2003)
ISSN: 1756-1833 [Electronic] England |
PMID | 14630756
(Publication Type: Clinical Trial, Comparative Study, Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
|
Chemical References |
- Anti-Bacterial Agents
- Glucocorticoids
- Dexamethasone
- Triamcinolone Acetonide
- Neomycin
- Acetic Acid
|
Topics |
- Acetic Acid
(therapeutic use)
- Adolescent
- Adult
- Aged
- Anti-Bacterial Agents
(therapeutic use)
- Dexamethasone
(therapeutic use)
- Double-Blind Method
- Drug Therapy, Combination
- Female
- Glucocorticoids
(therapeutic use)
- Humans
- Male
- Middle Aged
- Neomycin
(therapeutic use)
- Otitis Externa
(drug therapy)
- Recurrence
- Treatment Outcome
- Triamcinolone Acetonide
(therapeutic use)
|