MICROBIOLOGICAL PROFILE OF CHRONIC SUPPURATIVE OTITIS MEDIA AND THEIR ANTIBIOTIC SENSITIVITY PATTERN IN A TERTIARY CARE HOSPITAL OF NORTHERN KERALA, INDIA.

Rebecca John, Mohammed Hisham PP, Gufran Ahmed MB

Abstract


Aims: To identify the bacteriological and mycological aetiology of CSOM and to detect the antibiotic sensitivity pattern of the bacterial isolates.
Materials and Method: A total of 100 patients attending the Ear Nose & Throat (ENT) department, with complaints of ear discharge were included
in the study. Two swabs were collected. First swab was used for gram staining and the second for culture and sensitivity.
Results: Culture reports showed 91% growth, of which Pseudomonas aeruginosa and Klebsiella sp were the most predominant species (35.23%).
Fungal growth obtained had Candida non-albicans as the predominant species followed by Aspergillus. Pseudomonas aeruginosa showed high
sensitivity to Piperacillin-tazobactam (100%) and Tobramycin (100%) and was least sensitive to Ceftazidime (54%).
Conclusion: This study will help the clinicians in the ENT department to choose the appropriate treatment and formulate a protocol for empirical
therapy.


Keywords


CSOM, bacteria, fungi, antibiotic sensitivity.

Full Text:

PDF

References


Shalini Gupta P, A Microbiological Study Of Chronic Suppurative Otitis Media. International Journal of Recent Scientific Vol. 6, Issue, 7, pp.5487-5490, July, 2015

Agumadu UN, Okike O,Orji I,Ibekwe RC. Childhood suppurative otitis media in Abakaliki:Isolated microbes and in vitro antibiotic sensitivity pattern. Nigerian Journal of Clinical Practice.2011; 14(2):159-162.

Asish J , Amar M, Hajare V, Sreekantha, Avinash S,and Amareshar M: ‘To Study The Bacteriological And Mycological Profile Of Chronic Suppurative Otitis Media Patients And Their Antibiotic Sensitivity Pattern’, Int J Pharm Bio Sci 2013 Apr; 4(2): (B) 186 – 199

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 American journal of medical Sciences 2013 Apr; 5(4): 282-7.

Shreshtha BL, Amatya RCM, Shrestha I. Nepalese Journal of ENT Head and Neck Surgery. July-Dec 2011;2(2).

Loy A, Tan A, Lu P. Microbiology of chronic suppurative otitis media in Singapore. Singapore medical journal. 2002;43;6:296-9.

Aslam MA, Ahmed Z, Azim R. Microbiology and drug sensitivity patterns of chronic suppurative otitis media. J Coll Physicians Surg Pak. 2004; 14: 459–61.

Poorey. V.K and Iyer Arti. “Study of bacterial flora in CSOM and its clinical significance.” Indian Journal of Otolaryngology and Head and Neck Surgery. 2002; 54: 91-95

Kumar H,Seth.S.Bacterial and Fungal study of chronic suppurative otitis media.Journal of Clinical and Diagnostic Research ,2011;5(6):1224-27.

Yang Y, Gong S, Liu Y. The clinical investigation of bacteriology of chronic suppurative otitis media. Lin Chuang Er Bi Yan Hou Ke Za Zhi 2001;15:550-2

Poorey. V.K and Iyer Arti. “Study of bacterial flora in CSOM and its clinical significance.” Indian Journal of Otolaryngology and Head and Neck Surgery. 2002; 54: 91-95


Refbacks

  • There are currently no refbacks.