Mass management of otitis media in Zaire.

In 1976, 4,281 cases of otitis media with otorrhea were treated in the otorhinolaryngology department at Mama Yemo hospital, the 2,000-bed major medical center in Kinshasa, Zaire. Topical aluminum acetate (Burow's solution) on ear wicks of cotton was placed against the ear drum into the ear canal and changed daily as an effective method of mass control of this disease without antibiotics. The results were comparable to those from 0.3% topical gentamycin ophthalmic solution (Garamycin), but were obtained with considerably less expense in an area where economic considerations are essential.