Bacteriological profile of chronic suppurative otitis media 1 year cross sectional study.

AbstractObjectiveChronic suppurative otitis media is a major cause of disabling childhood hearing loss, especially in low-income countries. Estimates on its prevalence in sub-Saharan Africa range from the lowest to the highest in the world (less than one per cent to more than five per cent). However, the prevalence of chronic suppurative otitis media in Zimbabwe is largely unknown. This study aimed to determine the prevalence of paediatric chronic suppurative otitis media and other middle-ear pathology in rural Zimbabwe.MethodA cross-sectional study was performed in primary school children aged 4–13 years from the rural province of Mashonaland East. Participants underwent video otoscopy and tympanometry.ResultsOut of 451 examined children, two (0.4 per cent) had chronic suppurative otitis media. Acute otitis media was present in one (0.2 per cent), otitis media with effusion was present in five (1.1 per cent) and scarring was present in 69 (15.3 per cent).ConclusionChronic suppurative otitis media and otitis media sequelae were surprisingly uncommon in this sample of rural primary school children in Zimbabwe. More studies, preferably population-based, are needed to enable more precise estimates of chronic suppurative otitis media prevalence in Zimbabwe.

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A Cross Sectional Study of Tubotympanic Chronic Suppurative Otitis Media with Reference to Sinonasal Pathology

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2020/586 ◽

2020 ◽

Vol 9 (37) ◽

pp. 2695-2699

Author(s):

Abhay Dhananjay Havle ◽

Mannuru Khaleel Basha ◽

Naman Pincha ◽

Sanket Chandrashekhar Prabhune

Keyword(s):

Otitis Media ◽

Cross Sectional Study ◽

Chronic Suppurative Otitis Media ◽

Sectional Study ◽

Cross Sectional ◽

Suppurative Otitis Media

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“The Study of Bacteriological Agents of Chronic Suppurative Otitis Media Aerobic Culture and Antibiotic Sensitivity Testing Pattern at a Tertiary Care Hospital in and around Rajamundry: A cross-sectional study”

Tropical Journal of Pathology and Microbiology ◽

10.17511/jopm.2021.i04.09 ◽

2021 ◽

Vol 7 (4) ◽

pp. 207-214

Author(s):

Dr. Neelima Pantagada ◽

◽

Dr. Praveen Kavoori ◽

Keyword(s):

Otitis Media ◽

Tertiary Care ◽

Antibiotic Sensitivity ◽

Cross Sectional Study ◽

Chronic Suppurative Otitis Media ◽

Care Hospital ◽

Sectional Study ◽

Sensitivity Testing ◽

Cross Sectional ◽

Suppurative Otitis Media

Introduction: Chronic suppurative otitis media is a chronic infection of the middle ear and mastoidcavity which if not treated leads to partial or total loss of hearing and even life-threateningcomplications like meningitis and Intracranial abscess. Hence it is important to treat the persistentear discharge in CSOM according to the antimicrobial sensitivity of the organism isolated. Methods:This is a prospective cross-sectional study done in 135 clinically diagnosed patients of CSOM at GSLmedical college and General Hospital, Rajamundry, Andhra Pradesh from May 2019 to October 2019.Sterile swabs were used to collect pus from discharging ear and were inoculated onto Blood andMacConkey agar for 24-48 hrs, and identification of organisms was done by using standardbiochemical reactions and antibiotic sensitivity testing done by using modified Kirby- Bauer methodas per CLSI guidelines. Results: A total of 156 strains were isolated from 135 patients in thepresent study of which Pseudomonas aeruginosa and Staphylococcus aureus were amongst the mostisolated pathogens in culture. Imipenem showed the most sensitivity against Pseudomonas,subsequently levofloxacin and piperacillin. Linezolid was the most sensitive versus Staphylococcusensued by ciprofloxacin and cloxacillin. Conclusions: In the present study of Chronic suppurativeotitis media patients, Pseudomonas and Staphylococcus were highly prevalent and showed increasedresistance to beta-lactams and commonly used antimicrobial drugs. Antimicrobials like imipenem,piperacillin, and quinolones are effective against most cases of chronic suppurative otitis media

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Preoperative Predictors in Chronic Suppurative Otitis Media for Ossicular Chain Discontinuity: A Cross-Sectional Study

Audiology and Neurotology ◽

10.1159/000447045 ◽

2016 ◽

Vol 21 (4) ◽

pp. 231-236 ◽

Cited By ~ 3

Author(s):

Rashid Sheikh ◽

Hassan Haidar ◽

Hassanin Abdulkarim ◽

Waqar Aslam ◽

Aisha Larem ◽

...

Keyword(s):

Otitis Media ◽

Ossicular Chain ◽

Cross Sectional Study ◽

Chronic Suppurative Otitis Media ◽

Sectional Study ◽

Cross Sectional ◽

Suppurative Otitis Media ◽

Cutoff Values ◽

Degree Of Certainty ◽

Preoperative Predictors

Objective: Ossicular discontinuity may result from chronic suppurative otitis media and is usually detected intraoperatively. Our objective is to determine whether a preoperative audiogram can preoperatively predict the presence or absence of ossicular discontinuity. Methods: A cross-sectional study was prospectively run on our patients, aged 12-75 years, ultimately operated on for chronic suppurative otitis media. Preoperative audiograms were analyzed to measure frequency-specific air-bone gap (ABG) cutoff values. Intraoperatively, ossicular chain integrity was carefully checked. Logistic regression analysis was done to obtain a predictive model. Results: A total of 270 patients (306 ears) were included. Frequency-specific ABG cutoff values can predict ossicular discontinuity, namely: high ABGs at 1,000 Hz (>27.5 dB) and 2,000 Hz (>17.5 dB) are the most reliable variables associated with ossicular discontinuity. Conclusion: Preoperative audiograms can predict the presence of ossicular discontinuity in chronic suppurative otitis media. Large ABGs at both 1,000 and 2,000 Hz can predict ossicular discontinuity with a great degree of certainty.

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EVALUATION OF SENSORINEURALHEARING LOSS IN TUBOTYMPANIC TYPE OF CHRONIC SUPPURATIVE OTITIS MEDIA

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v3i6.1011 ◽

2019 ◽

Vol 3 (6) ◽

Author(s):

Dr. P. Surendra Babu

Keyword(s):

Hearing Loss ◽

Sensorineural Hearing Loss ◽

Otitis Media ◽

Cross Sectional Study ◽

Clinical Findings ◽

Sensorineural Hearing ◽

Chronic Suppurative Otitis Media ◽

Age Group ◽

Cross Sectional ◽

Suppurative Otitis Media

Background: To know the prevalence of sensorineural hearing loss among chronic suppurative otitis media patients To study the correlation between duration and clinical findings of CSOM with the degree of hearing loss. Materials and Methods Hospital based cross sectional study of patients aged between 10 to 45years with unilateral chronic suppurative otitis media attending Tirumala Super speciality Hospital, Kadapa from December 2015 to November 2017 with sample size of 100 cases were taken. Results: Out of the 100 cases, 10 patients were having sensorineural hearing loss. Thus the percentage is 10%. Out of the 10 cases of sensorineural hearing loss, no cases with sensorineural hearing loss between 10-15yr and 16-20yr age group. 2 were between in the age group of 26-30yr, 31-35yr and 36-40yr age group and 4 patients were in the age group of 41-45yr. Out of 100 patients 52 were males and 48 were females. Out of 10 patients with sensorineural hearing loss 6 were males and 4 were females. The duration of ear discharge ranged from 3 months to more than 15 years. Among the 100 patients studied 64 had ear discharge from 3months to 5yr. 16 had ear discharge from 6-10yr, 11 had ear discharge from 11-15yr and 9 had ear discharge of more than 15years. Conclusion: Our study shows presence of significant (10%) sensorineural hearing loss in patients with chronic suppurative otitis media. Duration of ear discharge correlates well with sensorineural hearing loss. No significant correlation between sex and sensorineural hearing loss. Keywords: Chronic suppurative otitis media, tubotympanic disease, sensorineural hearing loss.

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Study of effect of chronic suppurative otitis media on auditory brainstem response latency

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20201284 ◽

2020 ◽

Vol 6 (4) ◽

pp. 690

Author(s):

Hanumanth Prasad Muniyappa ◽

Ravi Dudda ◽

Balaji Nagavara Kalegowda ◽

Vandana Basvaraj

Keyword(s):

Hearing Loss ◽

Otitis Media ◽

Auditory Brainstem Response ◽

Auditory Brainstem ◽

Cross Sectional Study ◽

Chronic Suppurative Otitis Media ◽

Cross Sectional ◽

Suppurative Otitis Media ◽

Brainstem Response ◽

Latency Shift

Background: Chronic suppurative otitis media (CSOM) emerging as common hearing problems in the recent years with high prevalence requiring immediate attention. Hence, our study includes assessment of adult patients with CSOM using electrophysiological test, auditory brainstem response (ABR) and analysing the latency of ABR peaks in order to find the effect of CSOM on ABR latency with respect to shift in latency.Methods: The study followed cross sectional study design where data collected from March to September 2019 were used. A total of 50 subjects with unilateral CSOM were analysed. Descriptive statistics and paired t-test was used for statistical analysis of the data. Results: The data was divided into 3 groups based on degree of hearing loss (mild, moderate and moderately severe). The Mean ABR peak latency was analysed and subjects showed a significant latency shift. Also, it was found that the magnitude of latency shift increased with increase in degree of hearing loss.Conclusions: Hence the study concludes that as the amount of conductive component increases the pure tone threshold deteriorates and ABR latency gets affected. Also, the morphology of ABR peaks on comparison to the normal hearing ear gets affected due to constant conductive pathology in the pathological ear.

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