Comparison of the recovery rate of otomycosis using betadine and clotrimazole topical treatment

Publication date: Available online 6 May 2017
Source:Brazilian Journal of Otorhinolaryngology
Author(s): Mohammad Reza Mofatteh, Zahra Naseripour Yazdi, Masoud Yousefi, Mohammad Hasan Namaei
IntroductionOtomycosis is one of the common diseases that associated with many complications including involvement of the inner ear and mortality in rare cases. Management of otomycosis can be really challenging, and requires a close follow-up. Treatment options for otomycosis can include local debridement, local and systemic antifungal agents and utilization of topical antiseptics. The topical medications recommended for the treatment of otomycosis.ObjectiveThis study was designed to compare the recovery rate of otomycosis using two therapeutic methods of topical betadine (Povidone-iodine) and clotrimazole.MethodsIn this single-blind clinical trial, 204 patients with otomycosis were selected using a non-probability convenient sampling method and were randomly assigned to two treatment groups of topical betadine and clotrimazole (102 patients in each group). Response to treatment was assessed at 4, 10 and 20 days after treatment. Data were analyzed using the independent t-test, Chi-Square and Fisher exact test in SPSS v.18 software, at a significance level of p<0.05.ResultsThe results showed that out of 204 patients with otomycosis, fungi type isolated included Aspergillus in 151 cases (74%), and Candida albicans in 53 patients (26%). On the fourth day after treatment, 13 patients (13.1%) in the group treated with betadine and 10 patients (9.8%) in the group treated with clotrimazole had a good response to treatment (p=0.75). While, a good response to treatment was reported for 44 (43.1%) and 47 patients (46.1%) on the tenth day after the treatment (p=0.85); and 70 (68.6%) and 68 patients (67.6%) on the twentieth day after treatment (p=0.46) in the group treated with betadine and clotrimazole, respectively. So, the response to treatment was not significantly different in the two groups.ConclusionIn the present study the efficacy of betadine and clotrimazole were the same in the treatment of otomycosis. The result of this study supports the use of betadine as an effective antifungal in the otomycosis treatment that can help to avoid the emergence of resistant organisms.



http://ift.tt/2qM2e8I