Abstract:Objective To compare the therapy of otomycosis treatment with two topical therapeutic agents: iodophor solution and clotrimazole cream.Methods A total of 146 patients with monoaural ear fungal disease who were treated in Beijing Municipul Corps Hospital of Chinese People's Armed Police Force from October 2020 to December 2021 were randomly divided into iodophor group (n=73) treated with iodophor solution and clotrimazole group (n=73) treated with clotrimazole cream. Treatment effect was assessed on the 7 th,14 th and 21st days after treatment. On the 10th and 20th day after the end of treatment, follow-up review of those who were effective in treatment was carried out to assess recurrence.Results On the 7 th,14 th and 21st days after treatment, the effective rates of the iodophor group were 71.2%, 87.7% and 94.5%, respectively, the efficiency of the clotrimazole group was 78.1%, 82.2% and 90.4%, respectively, and there was no statistical significance between the two groups. On the 10th and 20th days after treatment, the recurrence rates in the iodophor group (5.8%, 5.8%) were lower than those in the clotrimazole group (10.6%, 13.6%), but the difference was not statistically significant. The incidence of adverse reactions in the iodophor group (8.2%) was significantly lower than that in the clotrimazole group (32.9%), and the difference was statistically significant (χ2=13.593, P<0.05).Conclusion The efficacy and recurrence rate of iodophor and clotrimazole in the local treatment of otomycosis were similar, but the patients treated with iodophor are well tolerated.
Dundar R,Iynen I. Single dose topical application of clotrimazole for the treatment of otomycosis: is this enough? [J]. J Audiol Otol,2019, 23(1): 15-19.
[2]
Mofatteh M R, Yazdi Z N, Yousefi M, et al. Comparison of the recovery rate of otomycosis using betadine and clotrimazole topical treatment[J]. Braz J Otorhinolaryngol,2018, 84(4):404-409.
[3]
Chen Qingguo,Chu Hanqi,Tao Yanling,et al. A comparison of triamcinolone acetonide econazole cream and nystatin suspension in treatment of otomycosis [J]. Laryngoscope,2021, 131(5): E1640-E1646.
[4]
Mao Y C, Tsai W J, Wu M L, et al. Acute hemolysis following iodine tincture ingestion[J]. Hum Exp Toxicol,2011, 30(10):1716-1719.
Filiz G,Mehmet A A,Emine D.Efficacy of topical isoconazole nitrate in the treatment of otomycosis [J]. Am J Otolaryngol, 2021, 42(4):102961.
[8]
Ali K, Hamed M A, Hassan H, et al. Identification of fungal pathogens in otomycosis and their drug sensitivity: our experience[J]. Int Arch Otorhinolaryngol, 2018, 22(4): 400-403.
[9]
Mahdavi Omran S, Yousefzade Z, Khafri S, et al. Effect of combination therapy with ceftizoxime and clotrimazole in the treatment of otomycosis[J]. Curr Med Mycol, 2018,4(1):18-23.
[10]
Li Yongqi, He Lifeng. Diagnosis and treatment of otomycosis in southern China[J]. Mycoses, 2019, 62(11): 1064-1068.
[11]
Munguia R, Daniel S J. Ototopical antifungals and otomycosis: a review[J]. Int J Pediatr Otorhinolaryngol, 2008, 72: 453-459.
[12]
Jimenez-Garcia L, Celis-Aguilar E, Díaz-Pavón G, et al. Efficacy of topical clotrimazole vs. topical tolnaftate in the treatment of otomy-cosis. A randomized controlled clinical trial [J]. Braz J Otorhinolaryngol, 2020,86(3):300-307.
[13]
Tom L W. Ototoxicity of common topical antimycotic preparations[J]. Laryngoscope, 2000,110: 509-516.
[14]
Şahiner A, Halat E, Yapar E A. Comparison of bactericidal and fungicidal efficacy of antiseptic formulations according to EN 13727 and EN 13624 standards [J]. Turk J Med Sci, 2019, 49(5):1564-1567.
[15]
Swain S K, Behera I C, Sahu M C, et al. Povidone iodine soaked gelfoam for the treatment of recalcitrant otomycosis-Our experiences at a tertiary care teaching hospital of eastern India[J]. J Mycol Med, 2018, 28(1):122-127.
[16]
Romsaithong S,Tomanakan K,Tangsawad W,et al. Effectiveness of 3 per cent boric acid in 70 per cent alcohol versus 1 per cent clotrimazole solution in otomycosis patients: a randomised, controlled trial[J]. J Laryngol Otol, 2016, 130(9): 811-815.