CSOM Topical Treatment — RACP Paediatrics MCQ

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ModerateCommunity & Indigenous HealthCSOM Topical TreatmentRACP Paediatrics

A 7-year-old Aboriginal boy in a remote community has chronic suppurative otitis media. What is the recommended topical treatment?

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Correct answer: C — Topical ciprofloxacin ear drops (after aural toilet)

CSOM management: regular aural toilet (dry mopping) followed by topical ciprofloxacin drops (0.3%, 5 drops BD for 2 weeks minimum). Aminoglycoside ear drops (gentamicin, neomycin) should be avoided due to ototoxicity risk through the perforated TM. Systemic antibiotics are reserved for acute exacerbations with systemic features.

Reference: NHMRC – 2024 – Management of Otitis Media in Aboriginal Children