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Chronic suppurative otitis media (CSOM), a disease of poverty, is very common among Australian Aboriginal children. In Aboriginal children, CSOM usually commences in infancy, causes hearing loss and has adverse effects on child development. This Aboriginal community controlled health services led research showed that twice-daily ear cleaning and topical ciprofloxacin is effective at community-level in achieving cure for CSOM. Healthcare providers to Aboriginal children with CSOM should be given special access to provide ototopical ciprofloxacin as first-line treatment.
- Couzos S, Lea T, Murray R, and Culbong M. 'We are not just participants--we are in charge': the NACCHO ear trial and the process for Aboriginal community-controlled health research. Ethn Health 2005;10:91-111
- Couzos S, Lea T, Mueller R, Murray R, and Culbong M. Effectiveness of ototopical antibiotics for chronic suppurative otitis media in Aboriginal children: a community-based, multicentre, double-blind randomised controlled trial. Med J Aust 2003;179:185-190
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