Comparison Between Topical Therapy And Oral Therapy In Patients With Chronic Suppurative Otitis Media
Keywords:
Suppurative Otitis Media, Topical Therapy, Oral Therapy.Abstract
suppurative otitis media (CSOM) is a middle ear infection that requires effective treatment to prevent serious complications. Treatment of CSOM involves two main methods, namely topical therapy applied directly to the area of infection to relieve local symptoms such as discharge and pain, and oral therapy that works systemically through the bloodstream to treat more extensive infections. This study uses the Literature method Review with Narrative design Review, collecting data from online sources such as Google Scholar and E- Perpusnas with the keywords " Chronic Suppurative Otitis Media," " Topical Therapy," and "Oral Therapy." The literature reviewed was limited to journals published in the last five years (2019–2024) to ensure the relevance of current data. The review results showed that topical therapy is more effective for local symptoms, while oral therapy is more suitable for cases with systemic complications. A combination of both may be an optimal choice depending on the severity of CSOM and the patient's response to treatment.
References
Purba LA, Imanto M, Angraini DI. Hubungan Otitis Media Akut dengan Riwayat Infeksi Saluran Pernapasan Atas pada Anak. Medula. 2021;10:670–6.
Alkatiri FBB. Kriteria diagnosis dan penatalaksanaan otitis media supuratif kronis. Intisari Sains Medis. 2019;5(1):100–5.
World Health Organization. Deaths by sex and age group for a selected country or area and year. World Heal Organ. 2019;(September):2022.
Pangemanan DM, Palandeng OI, Pelealu OC. Otitis Media Supuratif Kronik di Poliklinik THT-KL RSUP Prof. Dr. R. D. Kandou Manado Periode Januari 2014 – Desember 2016. e-CliniC. 2018;6(1).
Keputusan Menteri Kesehatan Republik Indonesia Pedoman Nasional Pelayanan Kedokteran Tata Laksana Otitis Media Supuratif Kronik. 2018;
Mediawaty D, Widodo P, Ruspita DA. Efektivitas Klinis Ofloksasin Topikal Dibanding Ciprofloksasin Oral Pada Terapi Otitis Media Supuratif Kronik Aktif. Medica Hosp J Clin Med. 2017;4(2):77–83.
Malik, M. I., Naqvi, A. F., Shahan, Z., Akbar, A., Enam, A., & Raza, M. (2024). Comparison of efficacy of topical ciprofloxacin ear drops versus oral ciprofloxacin in achieving dry ear in chronic suppurative otitis media. Pak Armed Forces Medical Journal, 74(4), 970–973. https://doi.org/10.51253/pafmj.v74i4.10016
Oktavianita, A. F., & Yuniarti, L. (2022). Systematic review: Efektivitas siprofloksasin topikal pada pengobatan otitis media supuratif kronik. Jurnal Riset Kedokteran, 2(2), 91–100. https://doi.org/10.29313/jrk.vi.1506
Wakeela, N., Tariq, A., Gull, I., & Hafeez, H. (2023). Effectiveness of topical vs. combination ciprofloxacin for the treatment of chronic suppurative otitis media. Journal of University Medical & Dental College, 14(3), 679–682. https://doi.org/10.37723/jumdc.v14i3.697
Triola, S., Andraini, M., Khomeini, & Ashan, H. (2023). Media supuratif kronik di Poliklinik THT RSUP Dr. M. Djamil tahun 2020-2022. Scientific Journal, 3(3), 133–135.
Fitria, N., & Syahputra, M. E. (2021). Gambaran faktor risiko dan terapi medik pada pasien OMSK tanpa kolesteatoma di RS Haji Mina. Jurnal Maksitek, 6(2), 51–54.
Rofifah, N., Pratama, A. A., Jusli, M., Mesi, S., & Jafar, M. A. (2024). Karakteristik tatalaksana pasien OMSK tipe benign di RSUD Sayang Rakyat Makassar. Fakumi Medical Journal, 4(2), 141–143.
Nasution, R. A., Sangging, P. R. A., & Himayani, R. (2023). Diagnosis dan tatalaksana otitis media supuratif kronik. Medula, 13(3), 56–60.
Awanis, L. A., & Aryani, I. G. A. T. (2022). Management of chronic suppurative otitis media in community activities in the archipelago. Jurnal Inovasi Pendidikan dan Sains, 3(3), 104–107.
Widyasari, F., Hifni, A., & Ghanie, A. (2022). Penatalaksanaan OMSK di fasilitas kesehatan pertama. Conferences of Medical Sciences Dies Natalis Faculty of Medicine Universitas Sriwijaya, 4(1), 89–91.
Nafi’ah, M. Q., Mulyani, S., & Putri, W. R. (2023). OMSK: Penanganan dan prevalensi di Indonesia. Jurnal Kedokteran Indonesia, 7(1), 112–116.













