Topical otic preparations generally contain glucocorticoids, antibiotics, antifungals or some combination thereof in a vehicle base. Dogs with concurrent infectious otitis externa and otitis media usually require both topical and systemic antimicrobial therapy. In patients with severe infections or with long-standing chronic otitis externa, you may need to add a systemic antimicrobial agent to clear the infection in the ear tissue as well as in the lumen of the ear canal. In most cases of infectious otitis externa, topical therapy alone is enough. At each recheck, you'll be monitoring the patient's response to treatment, performing cytology, and adjusting products accordingly. Topical therapy is almost always a staple of treatment, and systemic antimicrobials may be necessary as well.
Once you've diagnosed an otic infection, it's time to put together your treatment plan.
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