Micro biological evaluation of aural swab culture and antibiotic sensitivity in 100 cases of tubotympanic and attico antral disease
Keywords:Bacteriology, Antibiotic sensitivity, Chronic suppurative otitis media
Background: Chronic suppurative otitis media and its complications is one of the commonest ENT problems in our country. The chronicity of the disease and poor response to routine treatment prompted us to isolate and identify the causative organisms and study the antimicrobial susceptibility pattern.
Methods: About 50 patients with tubo tympanic disease and about 50 patients with attico-antral disease were selected, complete clinical ENT examination carried out, aural swabs were collected, culture was done and antibiotic sensitivity was studied.
Results: Culture of aural swab demonstrate the polymicrobial bacteriology consisting of both gram positive and negative pathogens, while gram negative pathogens form the majority of both tubotympanic and atticoantral disease. Mixed growth is more common in attico- antral disease. In our study, Ciprofloxacin and Cefotoxime has found out to be the drug of choice for both tubotympanic and atticoantral disease with high sensitivity.
Conclusions: Periodical monitoring of microbiological profile is essential for making effective empirical protocol for the cases in a particular geographical location.
Ahmed A,Usman J,Hashim R. Isolates from chronic suppurative otitis media and their microbial sensitivity. Pak Armed Forces Med J. 1999;49;82-5.
Bansal S, Ojha T, Kumar S, Singhal A, Vyas P. Changing microbial trends in cases of Chronic suppurative otitis media patients. Int J Current Res Rev.2013;5(15):76–80.
Lakshmipathi G, Bhaskaran CS. Bacteriology of Chronic suppurative otitis media. J Ind Med Assoc. 1965;45:436.
Moorthy PNS, Lingaiah J, Katari S, Nakirakanthi A. Clinical application of Microbiological study on Chronic suppurative otitis media. Int J of Otorhinolaryngol Head Neck Surg. 2013:2:290–4.
Mansoor T, Munsani MA, Khalid G, Kamal M. Pseudomonas aeruginosain chronic suppurative otitis media; sensitivity spectrum against various antibiotics in Karanchi. J Ayub Med Coll Abbottabad. 2009;21(2):120-3.
Rao BN, Reddy MS. Chronic suppurative otitis media – A Prospective study. Ind J Otolaryngol Head Neck Surg. 1994;3:72–7.
Brook I. Aerobic and Anaerobic bacteriology of Cholesteatoma. Laryngoscope. 1981;91:250–3.
Kumar H, Seth S. Bacterial and fungal studyof 100 cases of chronic suppurative otitis media. J Clin Diagnostic Res. 2011;5(6);1224–7.
Lakshmi J, Geetha, Lakshmi S. Chronic suppurative otitis media profile of aerobic pathogens and antibiotic sensitivity. J Evol Med Dental Sci. 2014;3(70):14957-62
Loy AHC, Tan AL, Lu PKS. Microbiology of Chronic suppurative otitis media in Singapore. Singapore Med J. 2002;43(6):296 – 9.
Shrestha BL, Amatya RCM, Shrestha I, Ghosh I. Microbiological profile of chronic suppurative otitis media. Napalese J ENT Head Neck Surg. 2011;2(2):14957-62.
Poorey VK, Iyer A. Study of bacterial flora in CSOM and its clinical significance. Indian J Otorhino laryngol Head Neck Surg. 2002;54(2):91-5.
Varshney S, Gupta P. Bacteriological study of Chronic Suppurative otitis media. Indian J Otol. 1999;5(2);87–91.
Mishra A, Shukla G, Nag D, Mishra SC. Bacteriological study of chronic suppurative otitis media. Ind J Otorhinolaryngol Head Neck Surg.1999:59(2):87–91.