DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20182713

Prevalence of self probing, clinical presentation and the causative organism among the patients presented with otitis externa in a tertiary care hospital

Edakkattil Rameshkumar, Salini Ajitha

Abstract


Background: Otitis externa, an inflammatory condition commonly reported in almost all age groups. But the prevalence and etiology are varying on different region. This study was aimed to find out the prevalence of self probing, clinical presentation and the causative organism among the patients presented with otitis externa in a tertiary care hospital.

Methods: All the patients presented with otitis externa in the outpatient department of ENT were included in the retrospective study. The history of self probing was identified using a questionnaire. The clinical presentation was noticed and organism was isolated from the swab taken from the external ear canal. The non-parametric data was expressed in numbers and percentage.  

Results: Total 49 patients were included in the study. The average age of patient was 39.5±14.3 years with 24 males and remaining females. Among them, 85.7% (42/49) had a history of self probing (p<0.05). The most prevalent age group for the self probing associated otitis externa was 31 to 40 years. The discharge was the major clinical presentation (40/49) and the common organism isolated was Pseudomonas aeruginosa in 38% of incidence.

Conclusions: Self probing was major etiological factor for otitis externa in the age group of 31-40 years. Discharge was the major clinical presentation and the common organism isolated was Pseudomonas aeruginosa. This emphasized the need for a proper awareness programme in the society against self probing to reduce the incidence.


Keywords


Otitis externa, Pseudomonas aeruginosa, Coagulase negative Staphylococcus, Aspergillus, Inflammation

Full Text:

PDF

References


Beers SL, Abramo TJ. Otitis Externa Review CME review article. Paediatr Emerg Care. 2004;20:250-6.

Osguthorpe JB, Nielsen BR. Otitis Externa Review and Clinical update. Am Family Physician. 2006;74:1510-6.

Hajioff D, MacKeith S. Otitis Externa. BMJ Clin Evid. 2015;2015:0510.

Martinez Devesa P, Willis CM, Capper JW. External Auditory canal pH in Chronic Otitis Externa. Clin Otolaryngol Allied Sci. 2003;28:320-4.

Olaosun AO. Self - Ear- Cleaning among educated young adults in Nigeria. J Family Med Prim care. 2014;3:17-21.

Hobson JC, Lavy JA. Use and Abuse of Cotton Buds. J Royal Soc Med. 2005;98:360-1.

Afolabi AO, Kodiya AM, Bakari A, Ahmad BM. Attitude of self ear cleaning in black African: any benefit? East Afr J Public Health. 2009;6:43-6.

Lee LM, Govindaraju R, Hon SK. Cotton Bud and Ear Cleaning - A Loose Tip Cotton Bud? Med J Malaysia. 2005;60:85-8.

Nussinovitch M, Rimon A, Velovitz B, Raveh E, Prais D, Amir J. Cotton-tip applicators as a leading cause of otitis externa. Int J Pediatr Otorhinolaryngol. 2004;68:433-5.

Sperling NM, Portnoy WM. To Swab or Not to Swab:Appropriate Medical Advise Regarding Self- Ear –Cleaning. Int J Head and Neck Surg. 2016;7:1-4

Hawke M, Wong J, Kradjen S. Clinical and Microbiological features of Otitis Externa. J Otolaryngol. 1984;13:289-95.

Llor C, McNulty CAM, Butler CC. Ordering and interpreting ear swabs in otitis externa. BMJ. 2014;349:5259.

Gokale SK, Anushka Devinkar A, Sonth S, Solabannavar SS. Bacteriological Study of Acute Otitis Externa in a Tertiary Care Hospital of a District in North Karnataka, India. Int J Curr Microbiol App Sci. 2017;6:981-5.

Wipperman J. Otitis externa. Prim Care. 2014;41:1-9.

Rosenfeld RM, Schwartz SR, Cannon CR, Roland PS, Simon GR, Kumar KA, et al. Clinical Practice Guideline:Acute Otitis Externa. Otolaryngol Head Neck Surg. 2014;150:S1-S24.

van Balen FA, Smit WM, Zuithoff NP, Verheij TJ. Clinical efficacy of three common treatments in acute otitis externain primary care:randomized controlled trial. BMJ. 2003;327:1201-5.

Koch K. Managing otitis externa. S Afr Pharm J. 2012;79:17-22.