Title: Bacteriological Study of Discharge in Patients of Chronic Suppurative Otitis Media Attending a Tertiary Care Hospital

Authors: Chaitry Shah, Neena Bhalodiya

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i5.117

Abstract

Chronic Suppurative Otitis Media (CSOM) is the most common illness in ENT practice. It affects all age groups and most commonly presents as ear ache and chronic ear discharge. It may even cause hearing impairment and may lead to complications so must be treated with caution. The study was undertaken to know the aerobic microbiological/bacteriological profile of ear discharge and variations in sensitivity pattern to treat the patients efficiently. A total of 86 patients who had discharging ear infection were included in this study. The most common microorganisms isolated were Pseudomonas aeruginosa and Staphylococcus aureus followed by Coagulase-Negative Staphylococci (CONS), Klebsiella spp, Proteus spp and Escherichia coli. Among the commonly used topical antibiotics, Ciprofloxacin appear to be first line antibiotic to treat CSOM.

Keywords- Chronic suppurative otitis media, Bacteriology, Culture and sensitivity, Psuedomonas aeruginosa.

References

1.      Richard. E. B and Roberts. M. K. (1996). Otitis Media and its complications in Nelson’s Texbook of peadiatrics. pp 1814-1824.

2.      B Iqbal J, Khan W, Raza SN, Naqvi NU, Rahat ZM, Azeem QE. Frequency of chronic suppurative otitis media in the junior ranks of Pak army. Pak Armed Forces Med J 2009; 59:367-70.

3.      Krišto B, Buljan M. Microbiology of the chronic suppurative otitis media. Medicinski Glasnik. 2011;8:2.

4.      Srivastava A, Singh R, Varshney S, Gupta P, Bist S, Bhagat S, et al. Microbiological Evaluation of an Active Tubotympanic Type of Chronic Suppurative Otitis Media. Nepalese Journal of ENT Head and Neck Surgery. 2011;12:14-6.

5.      Haraldsson G, Holbrook WP, Könönen E. Clonal similarity of salivary and nasopharyngeal Fusobacterium nucleatum in infants with acute otitis media experience. Journal of medical microbiology. 2004;532:161-5.

6.      Fliss DM, Dagan R, Meidan N, Leiberman A. Aerobic bacteriology of chronic suppurative otitis media without cholesteotoma in children. Ann Otol Rhinol Laryngol. 1992;101:866-9.

7.      Anifasi WB, Tumushime-Buturo CG. Bacteriology and drug sensitivity of chronic suppurative otitis media in central hospital in Zimbabwe. Cent Afr J Med. 1989;35:481-3.

8.      Forbes BA. Blood Culture. In: Forbes BA, Sham DF, Weissfeld AS., eds. Bailey & Scott’s Diagnostic Microbiology. 12th ed. St. Louis, MO: Mosby Elsevier;2007:778-781

9.      Clinical and Laboratory Standard Institute. Performance standards for antimicrobial susceptibility testing. Clinical and Laboratory Standards Institute, Wayne. 22nd Inform Suppl. 2012;32(3):M100-S21.

10.  Humera Rashid, Mubarak Zeb et al. Frequency and Antimicrobial Susceptibility Pattern of Pseudomonas aeruginosa in Ear Swabs. World Applied Sciences Journal 30 (7): 812-817, 2014.

11.  Raakhee T, Sreenivasa Rao Unguturu. Bacteriological study of discharging ear in patients attending a tertiary care hospital. Int J Res Med Sci. 2014 May;2(2):602-606

12.  Sharma S, Rehan HS, Goyal A, Jha AK, Upadhayaya S, Mishra SC. Bacteriological profile in chronic suppurative otitis media in Eastern Nepal. Trop Doct. 2004;34:102-4.

13.  Indudharan R, Haq JA, Aiyar S. Antibiotics in chronic suppurative otitis media: a bacteriologic study. Ann Otol Rhinol Laryngol. 1998;108:440-5.

14.  Van Hasselt P, van Kregten E. Treatment of chronic suppurative otitis media with ofloxacin in hydroxypropyl methylcellulose ear drops: a clinical/bacteriological study in a rural area of Malawi. Int J Otorhinolaryngol. 2002;63(1):49-56.

15.  Gul HC, Kurnaz A, Turhan V, Oncül O, Pahsa A. Microorganisms isolated from middle ear cultures and their antibacterial susceptibility in patients with chronic suppurative otitis media. Kulak Burun Bogaz Ihtis Derg. 2006;16:164-8.

16.  Macfadyen CA, Acuin JM, Gamble C. Systemic antibiotics versus topical treatm-ents for chronically discharging ears with underlying eardrum perforations. Cochrane Database Syst Rev. 2006;(1):CD005608.

17.  Borg MA, Cookson BD, Rasslan O, Gür D, Ben Redjeb S, Benbachir M, Rahal K, Bagatzouni DP, Elnasser Z, Daoud Z, Scicluna EA. Correlation between meticillin-resistant Staphylococcus aureus prevalence and infection control initiatives within southern and eastern Mediterranean hospitals. J Hosp Infect. 2009;71:36-42.

18.  Park DC, Lee SK, Cha CI, Lee SO, Lee MS, Yeo SG. Antimicrobial resistance of Staphylococcus from otorrhea in chronic suppurative otitis media and comparison with results of all isolated Staphylococci. Eur J Clin Microbiol Infect Dis. 2008;27:571-7.

19.  de Miguel Martínez I, Del Rosario Quintana C, Bolaños Rivero M, Ramos Macías A. Aetiology and therapeutic considerations in chronic otitis media. Analysis of a 5 year period. Acta Otorrinolaringol Esp. 2005;56:459-62.

20.  Iqbal, S. M., I.H. Udaipurwala, A. Hasan, M. Shafiq and S. Mughal, 2006. Chronic Suppurative Otitis media: disease pattern and drug sensitivity. Journal of Surgery Pakistan 11(1): 17-9.

21.  Gul, A. A., L. Ali, E. Rahim and S. Ahmed, 2007. Chronic Suppurating Otitis media; frequency of pseudomonas aeruginosa in patients and sensitivity to various antibiotics. Professional Medical Journal 14(3): 411-5.

22.  R Shyamala and P Sreenivasulu Reddy. The study of bacteriological agents of chronic suppurative Otitis media - Aerobic culture and evaluation. J. Microbiol. Biotech. Res., 2012, 2 (1):152-162.

Corresponding Author

Chaitry Shah

14, Yogiji Apartments, Opposite Shankarashram,

Rajnagar, Paldi, Ahmedabad, Gujarat, India-380007

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