<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1012-2966</journal-id>
<journal-title><![CDATA[Gaceta Médica Boliviana]]></journal-title>
<abbrev-journal-title><![CDATA[Gac Med Bol]]></abbrev-journal-title>
<issn>1012-2966</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Medicina de la Universidad Mayor de San Simón]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1012-29662021000200219</article-id>
<article-id pub-id-type="doi">10.47993/gmb.v44i2.268</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Otitis externa difusa: ¿una patología trivial?]]></article-title>
<article-title xml:lang="en"><![CDATA[Diffuse external otitis: A trivial pathology?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lombana Salas]]></surname>
<given-names><![CDATA[Enrique Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lombana Salas]]></surname>
<given-names><![CDATA[Moises Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miranda Jiménez]]></surname>
<given-names><![CDATA[María Camila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario de Sincelejo  ]]></institution>
<addr-line><![CDATA[Sincelejo Sucre]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Sucre  ]]></institution>
<addr-line><![CDATA[Sincelejo Sucre]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>44</volume>
<numero>2</numero>
<fpage>219</fpage>
<lpage>224</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S1012-29662021000200219&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S1012-29662021000200219&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S1012-29662021000200219&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La otitis externa es una patología frecuente en la consulta médica, se estima que 10% de las personas la padecerán al menos una vez en su vida, la presentación aguda cursa con afección del conducto auditivo externo de origen infeccioso en el 90% de los casos, llamada otitis externa difusa (OED). El presente artículo tiene como objetivo exponer la mejor evidencia actual que permita una descripción general de la patología, para ello se realizó una búsqueda de literatura científica en bases de datos reconocidas. Se encontró que la OED es caracterizada microbiológicamente por la presencia de Pseudomonas aeruginosa y Staphylococcus aureus, clínicamente los pacientes refieren otalgia lo que abre la puerta a una variedad de diagnósticos diferenciales y en el tratamiento se debe hacer una clasificación a partir de diversas variables (edad, compromiso auricular y estado inmunológico) a fin de determinar la vía terapéutica adecuada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract External otitis is a frequent pathology in the medical consultation, it is estimated that 10% of people will suffer it at least once in their life, the acute presentation compromises the external auditory canal of infectious origin in 90% of cases, called diffuse external otitis (DEO). The objective of this article is to present the best current evidence that allows a general description of the pathology, for which a search of scientific literature was carried out in recognized databases, finding that it was characterized microbiologically by the presence of Pseudomonas aeruginosa and Staphylococcus aureus, clinically, patients refer to otalgia generating a variety of differential diagnoses, and for treatment, a classification must be made based on various variables (age, atrial compromise, and immune status) in order to determine the appropriate therapeutic route.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[otitis externa]]></kwd>
<kwd lng="es"><![CDATA[otitis]]></kwd>
<kwd lng="es"><![CDATA[enfermedad del oído]]></kwd>
<kwd lng="en"><![CDATA[external otitis]]></kwd>
<kwd lng="en"><![CDATA[otitis]]></kwd>
<kwd lng="en"><![CDATA[ear Disease]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Medina-Blasini]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Sharman]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<source><![CDATA[Otitis Externa]]></source>
<year>2020</year>
<publisher-name><![CDATA[StatPearls Publishing]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wiegand]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Berner]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Schneider]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Lundershausen]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Dietz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Otitis Externa]]></article-title>
<source><![CDATA[Dtsch Arztebl Int.]]></source>
<year>2019</year>
<volume>116</volume>
<numero>13</numero>
<issue>13</issue>
<page-range>224-34</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hajioff]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[MacKeith]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Otitis externa]]></article-title>
<source><![CDATA[BMJ Clin Evid]]></source>
<year>2015</year>
<volume>2015</volume>
<page-range>0510</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wipperman]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Otitis Externa]]></article-title>
<source><![CDATA[Primary Care: Clinics in Office Practice]]></source>
<year>2014</year>
<volume>41</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-9</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rosenfeld]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Schwartz]]></surname>
<given-names><![CDATA[SR]]></given-names>
</name>
<name>
<surname><![CDATA[Cannon]]></surname>
<given-names><![CDATA[CR]]></given-names>
</name>
<name>
<surname><![CDATA[Roland]]></surname>
<given-names><![CDATA[PS]]></given-names>
</name>
<name>
<surname><![CDATA[Simon]]></surname>
<given-names><![CDATA[GR]]></given-names>
</name>
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[KA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guía de práctica clínica: otitis externa aguda]]></article-title>
<source><![CDATA[Otolaryngol Head Neck Surg]]></source>
<year>2014</year>
<volume>150</volume>
<numero>^s1</numero>
<issue>^s1</issue>
<supplement>1</supplement>
<page-range>S1-24</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[External otitis in children: etiology and principes of therapy]]></article-title>
<source><![CDATA[Vestn Otorinolaringol]]></source>
<year>2011</year>
<numero>6</numero>
<issue>6</issue>
<page-range>113-6</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Larach]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Astorquiza]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[OTITIS EXTERNA: DIAGNÓSTICO Y MANEJO PRÁCTICO]]></article-title>
<source><![CDATA[Rev Med Clin Condes]]></source>
<year>2016</year>
<volume>27</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>898-904</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Balcázar Rincon]]></surname>
<given-names><![CDATA[LE]]></given-names>
</name>
<name>
<surname><![CDATA[Ramírez Alcántara]]></surname>
<given-names><![CDATA[YL]]></given-names>
</name>
</person-group>
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Spernovasilis]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Psichogiou]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Poulakou]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Skin manifestations of Pseudomonas aeruginosa infections]]></article-title>
<source><![CDATA[Current Opinion in Infectious Diseases]]></source>
<year>2021</year>
<volume>34</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>72-9</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cervantes-García]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[García-González]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Salazar-Schettino]]></surname>
<given-names><![CDATA[PM]]></given-names>
</name>
</person-group>
<source><![CDATA[Características generales del Staphylococcus aureus]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sastre]]></surname>
<given-names><![CDATA[MAD]]></given-names>
</name>
<name>
<surname><![CDATA[Zannin]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Antolín]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
</person-group>
<source><![CDATA[PATOLOGÍA INFLAMATORIA DEL OÍDO EXTERNO. OTITIS EXTERNA. OTITIS EXTERNA MALIGNA]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ghanpur]]></surname>
<given-names><![CDATA[AD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparison of Microbiological Flora in the External Auditory Canal of Normal Ear and an Ear with Acute Otitis Externa]]></article-title>
<source><![CDATA[JCDR]]></source>
<year>2017</year>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schaefer]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Baugh]]></surname>
<given-names><![CDATA[RF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute Otitis Externa An Update]]></article-title>
<source><![CDATA[AFP]]></source>
<year>2012</year>
<volume>86</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>1055-61</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mittal]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Role of pH of External Auditory Canal in Acute Otitis Externa]]></article-title>
<source><![CDATA[Indian J Otolaryngol Head Neck Surg]]></source>
<year>2014</year>
<volume>66</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>86-91</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Musa]]></surname>
<given-names><![CDATA[TS]]></given-names>
</name>
<name>
<surname><![CDATA[Bemu]]></surname>
<given-names><![CDATA[AN]]></given-names>
</name>
<name>
<surname><![CDATA[Grema]]></surname>
<given-names><![CDATA[US]]></given-names>
</name>
<name>
<surname><![CDATA[Kirfi]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pattern of otitis externa in Kaduna Nigeria]]></article-title>
<source><![CDATA[Pan Afr Med J]]></source>
<year>2015</year>
<volume>21</volume>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vaduva]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez]]></surname>
<given-names><![CDATA[JIT]]></given-names>
</name>
<name>
<surname><![CDATA[Zaid]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
<name>
<surname><![CDATA[Rivera-Rodríguez]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patología infecciosa aguda de foco otorrinolaringológico]]></article-title>
<source><![CDATA[Medicine (Madr)]]></source>
<year>2019</year>
<volume>12</volume>
<numero>91</numero>
<issue>91</issue>
<page-range>5339-51</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Balch]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Heal]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Cervin]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gunnarsson]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Oral corticosteroids for painful acute otitis externa (swimmer's ear) A triple-blind randomised controlled trial]]></article-title>
<source><![CDATA[Aust J Gen Pract]]></source>
<year>2019</year>
<volume>48</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>565-72</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kaushik]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Malik]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Saeed]]></surname>
<given-names><![CDATA[SR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Interventions for acute otitis externa]]></article-title>
<source><![CDATA[Cochrane Database of Systematic Reviews]]></source>
<year>2010</year>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mösges]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Nematian-Samani]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Hellmich]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Shah-Hosseini]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A meta-analysis of the efficacy of quinolone containing otics in comparison to antibiotic-steroid combination drugs in the local treatment of otitis externa]]></article-title>
<source><![CDATA[Curr Med Res Opin]]></source>
<year>2011</year>
<volume>27</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>2053-60</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="">
<collab>NICE</collab>
<source><![CDATA[Published guidance and advice | Guidance | NICE]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mughal]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Swaminathan]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Al-Deerawi]]></surname>
<given-names><![CDATA[HB]]></given-names>
</name>
<name>
<surname><![CDATA[Henney]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Bickerton]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A Systematic Review of Antibiotic Prescription for Acute Otitis Externa]]></article-title>
<source><![CDATA[Cureus]]></source>
<year>2021</year>
<volume>13</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rajkamal]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bharadwaj]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A COMPARATIVE STUDY BETWEEN MUPIROCIN AND MAGSULPH-GLYCERINE WICK TREATMENT IN THE MANAGEMENT OF ACUTE OTITIS EXTERNA]]></article-title>
<source><![CDATA[jebmh]]></source>
<year></year>
<volume>5</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>:970-3</page-range></nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arés Álvarez]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez de la Ossa Sáenz-López]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Alfayate Miguélez]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Arés Álvarez]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez de la Ossa Sáenz-López]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Alfayate Miguélez]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quinolonas en Pediatría]]></article-title>
<source><![CDATA[Pediatría Atención Primaria]]></source>
<year>2017</year>
<volume>19</volume>
<numero>74</numero>
<issue>74</issue>
<page-range>e83-92</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
