A prospective study on pattern of microbes in chronic suppurative otitis media
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20210165Keywords:
Microbes, Amikacin, Antibiotic sensitivity, Chronic suppurative otitis mediaAbstract
Background: Chronic suppurative otitis media (CSOM) is a common chronic ear disease causing serious local damage and complications. Irrational use of antibiotics for its management has led to the emergence of multidrug-resistant strains. This study was conducted to find out the microbial profile and their antimicrobial sensitivity patterns in CSOM patients in Garhwal belt.
Methods: A total number of 100 patients of clinically diagnosed CSOM were enrolled over the duration of 1 year. Ear discharge was collected using sterile swabs and processed for the identification of aerobes, anaerobes and fungal isolates. Antimicrobial susceptibility testing of the isolates was performed.
Results: Maximum incidence of CSOM was observed in patients of 10–20 years age group with female preponderance. Decreased hearing was the main associated symptom. Out of 100 swabs, microbial growth was obtained in 88 samples amongst which 61 had monomicrobial growth while 39 had polymicrobial growth. Pseudomonas aeruginosa was the most common isolate. Amikacin showed maximum activity to most of the isolates.
Conclusions: Evaluation of microbes and their antibiotic sensitivity pattern in local area becomes helpful in prescribing empirical treatment for successful cure of CSOM.
Metrics
References
World Health Organization. Chronic Suppurative Otitis Media – Burden of Illness and Management Options. World Health Organization. 2004;.84. Available at: http://WHO Libr Cat Data. Accessed on: 02 January 2021.
Gupta R, Mittal M. A study on clinical and epidemiological profile of chronic suppurative otitis media (CSOM) at a tertiary care center. Int J Med Sci Public Health. 2016;5:1021.
Quinton G. Pathology and clinical course of the inflammatory diseases of the middle ear. In: Aina JG, eds. Glasscock- Shambaugh’s Surgery of the Ear, 6th edition. People’s Medical Publishing House, USA. 2010;427-8.
Kumar H, Seth S. Bacterial and fungal study of 100 cases of chronic suppurative otitis media. J Clin Diagn Res. 2011;5:1224-7.
Rout MR, Mohanty D, Vijaylaxmi Y, Kamalesh B, Chakradhar M. Prevalence of cholesteatoma in chronic suppurative otitis media with central perforation. Indian J Otol. 2012;18:7-10.
Morris PS, Leach AJ. Prevention and management of chronic suppurative otitis media in aboriginal children: A practical approach. Community Ear Hear. 2007;4:22-5.
Nagraj M, Premalatha DE. Bacteriological and mycological profile of chronic suppurative otitis media. Int J Otorhinolaryngol Head Neck Surg. 2018;4:754.
Hassan O, Adeyemi RE. A study of bacterial isolates in cases of otitis media in patients attending oauthc, Ile-Ife. Afr J Exp Microbiol. 2007;8:130-6.
Clinical and Laboratory Standard Institute; Performance standards for antimicrobial susceptibility testing. Pennsylvania, USA. 2007.
Sharma K, Oberoi L, Narula V. Present scenario of microbiological pattern in chronic supparative otitis media and its management guidelines. J Acad Clin Microbiol. 2017;19:47-53.
Prakash R, Juyal D, Negi V, Pal S, Adekhandi S, Sharma M, Sharma N. Microbiology of chronic suppurative otitis media in a tertiary care setup of Uttarakhand state, India. North Am J Med Sci. 2013;5:282-7.
Balan S, Viswanatha B. Microbiology of Chronic Suppurative Otitis Media: A Prospective Study in a Tertiary Care Hospital. J Otolaryngol ENT Res. 2017;9(1):00277.
Sen Gupta RP, Kacker SK. Otomycosis. Indian J Med Sc. 1978;32:5-7.
Gupta P, Varshney S, Kumar SK, Mohanty A, Jha MK. Chronic supparative otitis media: A microbiological review of 20 years. Indian J Otol. 2020;26:59-67.
Maji PK, Chatterjee TK, Chatterjee S, Chakrabarty J, Mukhopadhyay BB. The investigation of bacteriology of chronic suppurative otitis media in patients attending a tertiary care hospital with special emphasis on seasonal variation. Indian J Otolaryngol Head Neck Surg. 2007;59:128-31.
Downloads
Published
How to Cite
Issue
Section
