The consistently best treatment option for otitis caused by rods on cytology is a topical solution of trisEDTA mixed with enrofloxacin (4oz of trisEDTA with 12 cc of LA Baytril) filling the ear every 12 hours for 2 weeks.
NO ORAL antibiotics as they provide no benefit.
Oral high dose pred if the canal is extremely swollen and painful (for only 1 week).
Recheck in 2 weeks with cytology and if still severely infected based on cytology, anesthetize and flush the deep canal and bullae using an 8 fr red rubber catheter and LOTS of fluid.
then repeat the 2 weeks to TrisEDTA and Baytril treatment.
If still not improving on cytology, then culture and chase the results with concentrated antibiotic topicals.
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Allergy and Dermatology Clinic
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Dr. Keith A Hnilica
- Pet Wellness Center
- PetsLivingLonger.com, itchnot.com
- Dr. Keith Hnilica graduated from the University of Tennessee in 1993. After graduating, Dr. Hnilica completed a small animal internship and a residency in Dermatology at Auburn University. He received his Masters of Veterinary Medicine and became a board certified member of the American College of Veterinary Dermatology in 1997. Dr. Hnilica was selected into the University of Georgia’s Lilly Teaching Fellowship Program and in 2007 he completed an MBA program at the University of Tennessee. Dr. Hnilica was on faculty at the University of Georgia for 3 years and at The University of Tennessee for 8 years. Dr. Hnilica is the author of itchnot.com, an author of Small Animal Dermatology; A color Atlas and Therapeutic Guide 2nd Ed, which has been translated into 7 languages. In 2009, Dr, Hnilica left the University to develop a progressive referral and learning center focusing on cutting-edge medicine with exceptional client service and the absolute best patient care possible. The Pet Wellness Center and Lakeside Veterinary Academy are located in the Tennessee Smoky Mountain area and can be found on the web at www.PetsLivingLonger.com.