Deliver a professional otitis externa service through Scripter's structured consultation pathway. Supply: Neomycin, polymyxin B and hydrocortisone ear drops (Otosporin).

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What is Neomycin / polymyxin / hydrocortisone (Otosporin)?

Otosporin ear drops pair two antibiotics (neomycin and polymyxin B) with hydrocortisone, covering the bacteria that drive otitis externa, including Pseudomonas, while the steroid settles swelling and itch.

The condition it treats

Otitis externa is infection and inflammation of the ear canal, and Pseudomonas aeruginosa, a bacterium that loves warm wet canals, is a frequent culprit. Drops with polymyxin cover it directly.

How the service runs on Scripter

Patients book online, complete the pre-consultation questionnaire, and the guided pathway walks the practitioner through the otitis externa consultation with the screening and counselling steps built in. The supply decision, the record and any GP notification are produced in the same flow, documented against the exact protocol version in force.

Training and eligibility requirements.

Who can deliver this service, and who it can be delivered to. The governing PGD document defines the definitive inclusion, exclusion and supply criteria; the Scripter consultation pathway enforces them, and every consultation is documented against the protocol version it ran under.

Practitioner training

✓Registered healthcare professional from a profession authorised to supply under PGDs (Schedule 16, Part 4 of the Human Medicines Regulations 2012), such as a pharmacist, nurse, paramedic or physiotherapist, with current registration with their professional regulator

✓Practising from premises suitable for the service, such as registered pharmacy premises or a registered clinic

✓Assessed clinical competency for this service, declared and reviewed as part of PGD authorisation

✓Sign-off against the current version of this PGD in Scripter before first supply; sign-offs expire automatically when the protocol is updated, and the platform notifies everyone affected

✓In-date basic life support and safeguarding training

✓Indemnity arrangements covering the service

Patient eligibility

✓Patients within the governing PGD's age range with otitis externa confirmed by otoscopic examination

✓Intact eardrum confirmed; perforation or grommets exclude supply

✓Severe canal swelling, spreading infection or diabetes with severe symptoms referred

✓Instillation technique and water precautions counselled

Neomycin / polymyxin / hydrocortisone (Otosporin) PGD questions

Otomize or Otosporin: how is the choice made?+

Both treat the same condition; the consultation weighs presentation, patient preference for spray versus drops, and the governing PGD's criteria, and records the rationale.

How are ear drops best put in?+

Lying with the affected ear up, dropping without the nozzle touching the ear, then staying put a few minutes; the pathway includes the technique because it decides whether the medicine reaches the infection.

What if it is not better in a week?+

Failure to improve, worsening pain or spreading redness moves the patient to referral; the consultation record gives the GP the treatment history in one look.

More ear infection PGDs.

Related protocols in the same category, all delivered through the same platform.

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Neomycin / polymyxin / hydrocortisone (Otosporin) PGD.