In patients with patent tympanostomy tubes, are oral or topical antibiotics or observation best for the treatment of acute otitis media with otorrhea?

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Topical antibiotic-steroid drops more effectively treat acute otitis media with otorrhea in patients with patent tympanostomy tubes than oral antibiotics or observation. Resolution of otorrhea occurred a median of 1 day earlier with eardrops versus oral antibiotics and a median of 5 days earlier compared with observation alone (SOR: A, consistent RCTs and systematic review of low-quality RCTs).

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