Affordable Povidone-Iodine Treatment Offers New Hope for Children with Chronic Ear Infections in Nigeria

May 30, 2025 | In-House Treatments & Innovations

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BY SHEMMS NAJJAR, HEARING SCIENCE ACCELERATOR COORDINATOR

Mercy Jatto, MD, an otolaryngologist based in Nigeria, recently completed a study on treating chronic suppurative otitis media (CSOM) in Nigeria, where the condition is a leading cause of pediatric hearing loss. CSOM, characterized by persistent middle ear inflammation, is responsible for an estimated 164 million cases of hearing impairment worldwide, with a staggering 90% of these cases in low-resource settings. As antibiotic resistance grows and treatment failures increase, new, more affordable, and effective treatment options are urgently needed.

This study evaluated a possible, much cheaper alternative solution: rinsing the ear with 0.5% povidone-iodine. Povidone-iodine has been used for decades for its broad-spectrum antimicrobial efficacy against bacteria, viruses, fungi, and protozoan infections. It is also much more affordable than the commonly used ciprofloxacin ear drops. Its lower cost and accessibility may transform treatment in countries with limited access to expensive antibiotics, thus reducing the pressure on already strained healthcare systems.

The impact of such a treatment strategy cannot be overstated. In many developing countries, hearing loss due to CSOM can result in significant developmental setbacks for children, including language delays, cognitive challenges, and poor academic performance. With povidone-iodine aural irrigation, children can experience quicker recovery, better hearing outcomes, and improved quality of life. Addressing the root cause of hearing loss in children can lead to a positive ripple effect on their education and overall well-being.

Dr. Jatto’s early results are promising. Ultimately, by empowering healthcare providers in resource-poor settings with effective and simple treatment protocols, studies such as this may pave the way for more affordable ear and hearing care for children in need. This, in turn, can improve hearing outcomes, support educational success, and reduce the societal burden of hearing loss.