Swimming Precautions for Otitis Externa
During active otitis externa infection, patients should avoid swimming and keep the ears completely dry until the infection resolves, typically for at least 7-10 days after starting treatment. 1
Prevention and Management During Active Infection
Keep Ears Dry
- Cover the opening of the ear canal with an earplug or cotton ball coated with petroleum jelly prior to showering or hair washing 1
- Avoid submerging the head underwater completely during bathing
- Do not swim in any type of water (pools, lakes, oceans) during active infection 2
- Maintain ear dryness until the infection has completely resolved
Ear Protection
- Use properly fitted silicone or custom-made earplugs if water exposure cannot be avoided
- Consider using a swim cap that covers the ears for additional protection
- Avoid diving or underwater activities that could force water into the ear canal 3
Post-Water Exposure Care
- If accidental water exposure occurs, dry the ears thoroughly:
- Tilt head to each side to allow water to drain out
- Gently dry the outer ear with a towel
- Consider using a hair dryer on the lowest heat setting, held several inches from the ear
When to Resume Swimming
Timing
- Wait until the infection has completely resolved and there is no more pain, discharge, or inflammation 1
- Typically wait at least 7-10 days after starting treatment
- Consult with your doctor before resuming swimming activities
Preventive Measures After Recovery
- Use acidifying ear drops after swimming (2% acetic acid solution or commercial swimmer's ear drops) 4
- Dry ears thoroughly after water exposure
- Consider using alcohol-based ear drops (isopropyl alcohol mixed with equal parts white vinegar) after swimming to help dry the ear canal 1
High-Risk Situations
Swimming Environments to Avoid
- Hot tubs and stagnant water sources pose higher risks for otitis externa 5
- Poorly maintained swimming pools with inadequate chlorination may harbor Pseudomonas aeruginosa 6
- Swimming in polluted waters significantly increases infection risk 3
Special Considerations
- Patients with recurrent otitis externa should be especially cautious about water exposure
- Those with diabetes or immunocompromised conditions should follow stricter precautions due to higher risk of complications 7
- Individuals with a history of ear surgeries or perforated eardrums require specialized advice from their physician
Common Pitfalls to Avoid
- Using cotton-tipped applicators to clean or dry the ear canal (this can damage the ear canal and push debris deeper) 1, 7
- Assuming that chlorinated pool water is always safe (poorly maintained pools can harbor bacteria) 6
- Discontinuing ear protection too soon after infection resolves
- Ignoring early symptoms of recurrence when resuming swimming activities
By following these precautions, patients can effectively manage otitis externa and reduce the risk of recurrence while minimizing disruption to swimming activities.