Etiological agents in Chronic Suppurative otitis Media
Keywords:
Chronic suppurative otitis media, Etiology, Culture & sensitivity pattern
Abstract
Introduction: Chronic suppurative otitis media is an important cause of preventable hearing loss, particularly in the developing world. It is characterized by recurrent discharge from middle ear cavity through perforated tympanic membrane. Prevalence varies from eastern world when compare with western hemisphere. Most of the organisms are resistant to various antibiotics. We have conducted this study to identify etiological organism.
Methods: This study was a case control analysis study conducted in tertiary care teaching hospital of Central India after taking permission from Institutional Research board [IRB]. Total duration of study was 2 years. 216 patient’s patients who came to OPD or admitted in hospital for chronic ear discharge & full fill inclusion criteria have been included in study.
Results: Out of 216 patients 119 (55 %) were male & 97 (45 %) were female. Staphylococcus (25 %, n= 55) & Pseudomonas (26 %, n=56) together were two most common organisms comprised nearly fifty percent of total patients. Nearly 30 % of culture did not reveal any growth. Candida was most common fungus on culture comprised nearly 7 % of total population.
Conclusion: Sensitivity pattern varies with geographical areas but most of the organisms are sensitive with ciprofloxacin ear drops. It is consider first line of drugs for CSOM.
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References
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6. Md. Mazharul Shaheen, Ahmed Raquib, Shaikh Muniruddin Ahmad. Chronic Suppurative Otitis Media and Its Association with Socio-Econonic Factors Among Rural Primary School Children of Bangladesh. Indian J Otolaryngol Head Neck Surg. Mar 2012; 64(1): 36–41.
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2013 Sep;77(9):1530-5.
8. Yorgancılar E1, Yildirim M, Gun R, Bakir S, Tekin R, Gocmez C, Meric F, Topcu I. Complications of chronic suppurative otitis media: a retrospective review. Eur Arch Otorhinolaryngol. 2013 Jan;270(1):69-76.
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11. Saha SN, Chandra S, Srivastava A, Ghosh A. An unusual complication of CSOM - Lateral sinus thrombosis with lung abscess: A clinicoradiological study. Indian J Otolaryngol Head Neck Surg. 2007 Dec;59(4):349-52.
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14. Renukananda GS, U P S, George NM. Topical vs Combination Ciprofloxacin in the Management of Discharging Chronic Suppurative Otitis Media. J Clin Diagn Res. 2014 Jun;8(6):KC01-4.
15. Orji F. A survey of the burden of management of chronic suppurative otitis media in a developing country. Ann Med Health Sci Res. 2013 Oct;3(4):598-601.
16. Brobby GW, Zadik P. Bacteriology of otitis media in Ghana. Tropical Doctor, 1987, 17:91-92.
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18. Deb T, Ray D. A study of the bacteriological profile of chronic suppurative otitis media in agartala. Indian J Otolaryngol Head Neck Surg. 2012 Dec;64(4):326-9.
19. Dayasena RP, Dayasiri MBKC, Jayasuriya C, Perera DSC; Aetiological agents in chronic suppurative otitis media in Sri Lanka. AMJ 2011, 4, 2, 101-4. Doi:
http://dx.doi.org/10.4066/AMJ.2011.549.
20. Biagio L1, Swanepoel DW, Laurent C, Lundberg T. Paediatric otitis media at a primary healthcare clinic in South Africa. S Afr Med J. 2014 May 12;104(6):431-5.
doi: 10.7196/samj.7534.
21. Hallbauer UM, Atkins MD, Tiedt NJ, Butler IR, Pieters M, Elliott E, Joubert G, Seedat RY. Comorbidities in children presenting with chronic suppurative otitis media--a South African study. J Trop Pediatr. 2014 Jun;60(3):198-202. doi: 10.1093/tropej/fmt107. Epub 2014 Jan 8.
22. Ahmed B, Hydri AS, Afridi AAK, Ejaz A, Farooq S, Zaidi SK. Microbiology of ear discharge in Quetta.J Coll Physicians Surg Pak Sep 2005; 15(9):5834.
23. Aduda DS, Macharia IM, Mugwe P, Oburra H, Farragher B, Brabin B, Mackenzie I. Bacteriology of chronic suppurative otitis media (CSOM) in children in Garissa district, Kenya: a point prevalence study. Int J Pediatr Otorhinolaryngol. 2013 Jul;77(7):1107-11. doi: 10.1016/j.ijporl.2013.04.011.
24. Renukananda GS, U P S, George NM. Topical vs Combination Ciprofloxacin in the Management of Discharging Chronic Suppurative Otitis Media. J Clin Diagn Res. 2014 Jun;8(6):KC01-4. doi:10.7860/JCDR/2014/8038.4421.
25. van Hasselt P, van Kregten E. Treatment of chronic suppurative otitis media with ofloxacin in hydroxypropyl methylcellulose eardrops: a clinical/bacteriological study in a rural area.
26. Alper CM, Dohar JE, Gulhan M, Ozunlu A, Bagger-Sjobak D, Hebda PA, Swarts JD. Treatment of chronic suppurative otitis media with topical tobramycin and
dexamethasone. Arch Otolaryngol Head Neck Surg.2000 Feb;126(2):165-73
27. Jang CH, Park SY . Emergence of ciprofloxacinresistant pseudomonas in chronic suppurative otitis media. Clin Otolaryngol Allied Sci 2004.29(4):321–323
2. Lorenzo Monasta, Luca Ronfani, Federico Marchetti, Marcella Montico, Liza Vecchi Brumatti, Alessandro Bavcar, Domenico Grasso, Chiara Barbiero, Giorgio Tamburlini. Burden of Diseas Caused by Otitis Media: Systematic Review and Global Estimates. PLoS One. 2012; 7(4): e36226
3. Tos M. Sequelae of secretory otitis media and the relationship to chronic suppurative otitis media. Ann Otol Rhinol Laryngol. 1990; 99:18–9.
4. Daly KA, Hunter LL, Levine SC, et al. Relationships between otitis media sequelae and age. Laryngoscope 1998;108:1306–10.
5. Verhoeff M, Van der,V, Rovers MM, Sanders EA, Schilder AG; Chronic suppurative otitis media: A review. International Journal of Pediatric Otorhinolaryngology 2006;70:1-12.
6. Md. Mazharul Shaheen, Ahmed Raquib, Shaikh Muniruddin Ahmad. Chronic Suppurative Otitis Media and Its Association with Socio-Econonic Factors Among Rural Primary School Children of Bangladesh. Indian J Otolaryngol Head Neck Surg. Mar 2012; 64(1): 36–41.
7. Jensen RG, Koch A, Homøe P. The risk of hearing loss in a population with a high prevalence of chronic suppurative otitis media. Int J Pediatr Otorhinolaryngol.
2013 Sep;77(9):1530-5.
8. Yorgancılar E1, Yildirim M, Gun R, Bakir S, Tekin R, Gocmez C, Meric F, Topcu I. Complications of chronic suppurative otitis media: a retrospective review. Eur Arch Otorhinolaryngol. 2013 Jan;270(1):69-76.
9. S H C, M M K, Handi P, Khavasi P, Doddmani SS, Riyas M. To Study the Level of Awareness About Complications of Chronic Suppurative Otitis Media (CSOM) in CSOM Patients. J Clin Diagn Res. 2014 Feb;8(2):59-61
10. Dubey SP, Larawin V. Complications of chronic suppurative otitis media and their management. Laryngoscope. 2007 Feb;117(2):264-7.
11. Saha SN, Chandra S, Srivastava A, Ghosh A. An unusual complication of CSOM - Lateral sinus thrombosis with lung abscess: A clinicoradiological study. Indian J Otolaryngol Head Neck Surg. 2007 Dec;59(4):349-52.
12. Olusanya BO, Okolo AA, Ijaduola GTA.The hearing profile of Nigerian school children. Int J Paediatr Otorhinolaryngol 2000, 55(3): 173-9.
13. Mcpherson B, Holborow CA. A study of deafness in West Africa: the Gambian Hearing Health Project. Int. J Pediatr Otorhinolaryngol 1985, 10:115-135.
14. Renukananda GS, U P S, George NM. Topical vs Combination Ciprofloxacin in the Management of Discharging Chronic Suppurative Otitis Media. J Clin Diagn Res. 2014 Jun;8(6):KC01-4.
15. Orji F. A survey of the burden of management of chronic suppurative otitis media in a developing country. Ann Med Health Sci Res. 2013 Oct;3(4):598-601.
16. Brobby GW, Zadik P. Bacteriology of otitis media in Ghana. Tropical Doctor, 1987, 17:91-92.
17. Brook I, Frazier E. Microbial dynamics of persistent purulent otitis media in children. J Pediatrics, 1996,128(2): 237-240.
18. Deb T, Ray D. A study of the bacteriological profile of chronic suppurative otitis media in agartala. Indian J Otolaryngol Head Neck Surg. 2012 Dec;64(4):326-9.
19. Dayasena RP, Dayasiri MBKC, Jayasuriya C, Perera DSC; Aetiological agents in chronic suppurative otitis media in Sri Lanka. AMJ 2011, 4, 2, 101-4. Doi:
http://dx.doi.org/10.4066/AMJ.2011.549.
20. Biagio L1, Swanepoel DW, Laurent C, Lundberg T. Paediatric otitis media at a primary healthcare clinic in South Africa. S Afr Med J. 2014 May 12;104(6):431-5.
doi: 10.7196/samj.7534.
21. Hallbauer UM, Atkins MD, Tiedt NJ, Butler IR, Pieters M, Elliott E, Joubert G, Seedat RY. Comorbidities in children presenting with chronic suppurative otitis media--a South African study. J Trop Pediatr. 2014 Jun;60(3):198-202. doi: 10.1093/tropej/fmt107. Epub 2014 Jan 8.
22. Ahmed B, Hydri AS, Afridi AAK, Ejaz A, Farooq S, Zaidi SK. Microbiology of ear discharge in Quetta.J Coll Physicians Surg Pak Sep 2005; 15(9):5834.
23. Aduda DS, Macharia IM, Mugwe P, Oburra H, Farragher B, Brabin B, Mackenzie I. Bacteriology of chronic suppurative otitis media (CSOM) in children in Garissa district, Kenya: a point prevalence study. Int J Pediatr Otorhinolaryngol. 2013 Jul;77(7):1107-11. doi: 10.1016/j.ijporl.2013.04.011.
24. Renukananda GS, U P S, George NM. Topical vs Combination Ciprofloxacin in the Management of Discharging Chronic Suppurative Otitis Media. J Clin Diagn Res. 2014 Jun;8(6):KC01-4. doi:10.7860/JCDR/2014/8038.4421.
25. van Hasselt P, van Kregten E. Treatment of chronic suppurative otitis media with ofloxacin in hydroxypropyl methylcellulose eardrops: a clinical/bacteriological study in a rural area.
26. Alper CM, Dohar JE, Gulhan M, Ozunlu A, Bagger-Sjobak D, Hebda PA, Swarts JD. Treatment of chronic suppurative otitis media with topical tobramycin and
dexamethasone. Arch Otolaryngol Head Neck Surg.2000 Feb;126(2):165-73
27. Jang CH, Park SY . Emergence of ciprofloxacinresistant pseudomonas in chronic suppurative otitis media. Clin Otolaryngol Allied Sci 2004.29(4):321–323
CITATION
DOI: 10.17511/ijmrr.2014.i05.10
Published: 2014-10-31
How to Cite
1.
Abdul Khader K, Parihar H, Kumar Mishra R. Etiological agents in Chronic Suppurative otitis Media. Int J Med Res Rev [Internet]. 2014Oct.31 [cited 2024Dec.23];2(5):463-8. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/139
Section
Original Article
OAI - Open Archives Initiative
