A bacteriological study of CSOM in Konaseema region
Abstract
Background: Chronic Suppurative Otitis Media is a disease of multiple aetiology and is well known for its persistence and recurrence in spite of treatment. Changes in the microbiological profile following the advent of sophisticated synthetic antibiotics and unscrupulous usage of antibiotics increase the relevance of reappraisal of the modern day organisms in CSOM and their in vitro antibiotic sensitivity pattern.
Aim: To identify bacteriological profile in our geographical area in CSOM both in TTD and AAD types, their latest sensitivity trends to antibiotics.
Materials & Methods: 100 Patients with more than 3 months history of ear discharge selected over a period of 18 months. All patients are enquired about the history then subjected to ENT examination. From the discharging ear, pus taken with two sterile swabs and sent for direct smear and aerobic culture and sensitivity.
Results: Gram negative organisms are predominant than gram positive. Pseudomonas is the most common organism found followed by Staph. aureus. Sensitivity in gram negative bacteria were mainly to Ciprofloxacin, Gentamycin and Amikacin. The gram positive organisms were highly sensitive to Amoxycillin/Clavulanic acid, Amikacin, Gentamycin, Ciprofloxacin and Tetracycline.
Conclusion: Bacterial profile in discharging ears keep changing, latest bacteriological profile with antibiotic sensitivities needed to be obtained from time to time so as to treat the patient more efficiently.
Downloads
References
2. Dr Jose Acuin et al., Chronic Suppurative Otitis Media burden of illness and management options. World Health Organization Geneva Switzerland, 2004:p14.
3. Ogisi FO. Impedance screening for otitis media with effusion in Nigerian children. J Laryngol Otol. 1988 Nov;102(11):986-8. [PubMed]
4. 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. doi: 10.1007/s12070-011-0323-6. Epub 2011 Nov 5. [PubMed]
5. Gupta A and Gupta V. A Study of Prevalence of Complication of Suppurative Otitis Media in rural area of Loni. Indian Journal of Otology, 1996; 2 (4): 177- 183.
6. Kumar S. A. Jagadish, Hema Bindu. Clinical and bacteriological study of CSOM by Anaerobic Culture Methods in a Teaching Hospital; Nepalese Journal of ENT Head & Neck Surgery, 2012; 3(2): 16-18.
7. Poorey VK, Lyer A. Study of bacterial flora in csom and its clinical significance. Indian J Otolaryngol Head Neck Surg. 2002 Apr;54(2):91-5. doi: 10.1007/BF02968724. [PubMed]
8. Nitin V Deosthale et al., Microbiological evaluation of CSOM. Odissa Journal of Otorhinolaryngology and HNS,2012; 6(1):18-22.
9. Parica N.Ayson et al., CSOM:Bacteriology and drug sensitivity patterns at the Quirino memorial medical center(2004-2005):A preliminary study; Philippine J of Otolaryngology-Head and Neck Surgery,2006; 21(1,2):20-23.
10. Gupta V, Gupta A, Sivarajan K. Chronic Suppurative Otitis Media: An Aerobic Microbiological study. Indian Journal of Otology, 1998; 4(2): 79-82.
11. Fliss DM, Dagan R, Meidan N, Leiberman A. Aerobic bacteriology of chronic suppurative otitis media without cholesteatoma in children. Ann Otol Rhinol Laryngol. 1992 Oct;101(10):866-9.
12. Vijaya D. Aerobes, Anaerobes and Fungi in Chronic Suppurative Otitis Media. Indian Journal of Otology, 2000; 6 (3): 55-58.
OAI - Open Archives Initiative
