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Necrotising otitis externa and how to reduce length of hospital stay: A complete audit cycle of 77 hospital admissions

Lookup NU author(s): Hassan Mohammed, Dr Hamza Qureshi, Philip Yates

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Abstract

© 2021 Cambridge University Press. All rights reserved.Background. Necrotising otitis externa is a serious condition that requires hospital admission. Longer hospital stays are associated with increased complications. Method. This was a closed audit cycle in a tertiary ENT centre of patients presenting with necrotising otitis externa to the ENT department between 2015 and 2019. The aim was to audit the length of hospital stay in comparison to national figures as well as the time needed for investigations. Results. The number of patients with necrotising otitis externa is increasing in England. Length of stay, however, appears to be more stable. A total of 66 admissions occurred over the study period for 48 patients in total, and mean length of stay was 12.4 days. After implementation of a new protocol, length of stay was reduced to 7.1 days. Conclusion. Patients with necrotising otitis externa require prompt diagnosis and management in order to shorten length of stay in hospital and avoid serious complications. Multi-disciplinary protocol development and implementation could help in reducing length of stay of necrotising otitis externa patients.

Publication metadata

Author(s): Mohammed H, Khun Ng JC, Qureshi MH, Yates P

Publication type: Article

Publication status: Published

Journal: Journal of Laryngology and Otology

Year: 2022

Volume: 136

Issue: 7

Pages: 668-673

Print publication date: 01/07/2022

Online publication date: 22/10/2021

Acceptance date: 26/02/2021

ISSN (print): 0022-2151

ISSN (electronic): 1748-5460

Publisher: Cambridge University Press

URL: https://doi.org/10.1017/S002221512100308X

DOI: 10.1017/S002221512100308X

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