Retrospective study of fungal elements by potassium hydroxide mount in chronic otitis media

Authors

  • Santosh U. P. Department of Otorhinolaryngology and Head and Neck Surgery, J. J. M Medical College, Davangere, Karnataka, India
  • Sanjay V. C. Department of Otorhinolaryngology and Head and Neck Surgery, J. J. M Medical College, Davangere, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20203035

Keywords:

Chronic otitis media, KOH mount, Combined therapy, Prevalence

Abstract

Background: Chronic otitis media is defined as persistent disease of middle ear. Fungi can either be the primary pathogen or be superimposed on bacterial infections or can be secondary pathogen in previously perforated tympanic membrane. Keeping view of high prevalence of fungal infection of middle ear in hot, humid and dusty areas, retrospective study was done to detect the potassium hydroxide (KOH) mount positive in ear discharge of chronic otitis media and treat these patients.

Methods: This was a retrospective study based on Bapuji Hospital records between 1 January 2018 to 26 July 2019 attached to the teaching college JJM Medical College, Davangere. Patients of either sex between age group 18 months to 87 years who diagnosed with chronic otitis media and given ear discharge sample for bacterial culture and KOH mount which is taken by a single surgeon. Collected bacterial culture reports and KOH mount reports and calculated all positive reports of KOH mount reports and treated accordingly and all reports were analysed statistically.  

Results: We found that 15.8% KOH rate positive with 9.8-21.8% probable range for KOH positivity 95% CI which will impact in modification of treatment in chronic otitis media and were effectively treated with antibiotic and antifungal ear drops and 8 patients were required oral antibiotics as well.

Conclusions: We conclude that in patients with COM, send ear discharge for both culture and sensitivity and KOH mount and it should be routine and always consider combined therapy i.e., antibiotic and antifungal drugs.

Author Biographies

Santosh U. P., Department of Otorhinolaryngology and Head and Neck Surgery, J. J. M Medical College, Davangere, Karnataka, India

Professor 

Department of Otorhinolaryngology and head and neck surgery

JJM Medical College, Davangere.

Sanjay V. C., Department of Otorhinolaryngology and Head and Neck Surgery, J. J. M Medical College, Davangere, Karnataka, India

post graduate student in MS ENT

References

Munguia R, Daniel SJ. Ototopical antifungals and otomycosis: a review. Int J Pediatric Otorhinolaryngology. 2008;72(4):453-9.

Sachdev VP, Bhatia JN. A survey of otitis media in PGI, Chandigarh. Ind J Otolaryng. 1965;17:134-9.

Lubis YM, Dharma, Chaidir AZ, Refilda, Fachrial E. Profile of chronic suppurative otitis media patients with positive fungal culture in Medan, Indonesia. J Chemical Pharmaceutical Res. 2016;8(1):23-6.

Ghosh A, Rana A, Prasad S. Prevalence of Fungal Infection in Chronic Suppurative Otitis Media: A Study at Tertiary Care Hospital in Western Uttar Pradesh. Indian J Microbiol Res. 2015;2(3):159-62.

Ghosh RR, Pal S, Ghosh M, Samaddar D, Banerjee M. Prevalence of Fungal infection in chronic otitis media: A study at a tertiary care hospital in Eastern India. Int J Curr Microbiol App Sci. 2015;4(3):684-90.

Gandhi VV, Sree PN, Kalyani M. A Study on Etiological Agents with Special Reference to Fungal Isolates causing Chronic Suppurative Otitis Media in a Tertiary Care Hospital. Int J Curr Microbiol App Sci. 2016;5(11):508-14.

Yadav RK, Gaurav K, Bansal M, Jaiswal A. Fungal profiling in patients with chronic suppurative otitis media: a microbiological study. Int J Contemporary Med Res. 2016;3(8):2271-4.

Chauhan J. Bacterial and fungal profile in Chronic Suppurative Otitis Media in a tertiary care hospital in Uttarakhand. IOSR J Pharmacy Biological Sci. 2019;14(1):38-44.

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Published

2020-07-22

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Section

Original Research Articles