scholarly journals Study of bacteriological profile in chronic suppurative otitis media and their pattern of antibiotic sensitivity

2021 ◽  
Vol 7 (4) ◽  
pp. 663
Author(s):  
Kiran J. Shinde ◽  
Netra A. Pathak ◽  
Namrata J. Katake
Keyword(s):  
Otitis Media ◽  
Antibiotic Sensitivity ◽  
Empirical Therapy ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Bacteriological Profile ◽  
Sensitivity Pattern ◽  
Culture Sensitivity ◽  
High Degree ◽  
Middle Ear Cleft

<p class="abstract"><strong>Background: </strong>Chronic suppurative otitis media is a long-standing infection of the middle ear cleft which is characterized by recurrent and persistent ear discharge and persistent non healing perforation of tympanic membrane. It can lead to severe complications if not treated appropriately. Due to emerging antibiotic resistance, it is necessary to understand the antimicrobial pattern and their sensitivity to antibiotics which will help clinicians to select antibiotic which is sensitive to their corresponding microorganism. The aim of the study is to isolate the prevalent microorganism and study their antibiotic sensitivity pattern in patients of chronic suppurative otitis media (CSOM).</p><p class="abstract"> <strong>Methods:</strong> Total 100 patients were examined, ear swab were collected by sterile ear swab and sent for microscopy and culture sensitivity examination to microbiology department. Results were documented and analyzed.</p><p class="abstract"><strong>Results: </strong>Pseudomonas aeruginosa was the most common isolate (41%) followed by Staphylococci (28.2%). Gram negative cocci showed high degree of sensitivity to Cotrimoxazole (100%), Amikacin (79%) and Piperacillin - tazobactum (75%). Gram positive cocci showed high degree of sensitivity to Linezolid.</p><p class="abstract"><strong>Conclusions: </strong>Study of bacteriological profile and their sensitivity pattern helps in empirical therapy and reduces the risk of complications.</p>

scholarly journals Clinico-microbial profile in chronic suppurative otitis media and its management in tertiary care centre

2018 ◽  
Vol 5 (1) ◽  
pp. 135
Author(s):  
Rashmi Ramashesh ◽  
Samira Abdul Wajid ◽  
Smitha Chandra
Keyword(s):  
Staphylococcus Aureus ◽  
Otitis Media ◽  
Antibiotic Sensitivity ◽  
Chronic Suppurative Otitis Media ◽  
Health Concern ◽  
Research Centre ◽  
Suppurative Otitis Media ◽  
Gram Negative ◽  
Sensitivity Pattern ◽  
Pseudomonas Species

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media (CSOM) is an ever growing concern of preventable hearing loss and is a major health concern especially in tropical countries. Lack of cleanliness, overcrowding, poverty, malnutrition and medical ignorance are few of the contributing factors. The microbiological flora is constantly changing due to indiscriminate use of antibiotics with rapid change in the antibiotic sensitivity patterns. Hence, this study was undertaken to determine the epidemiological profile, bacteriological profile and the antibiotic sensitivity pattern which would help in establishing a protocol in management of CSOM patients in the hospital.</p><p class="abstract"><strong>Methods:</strong> A total of 100 patients of CSOM attending the ENT Outpatient Department of The Oxford medical College, Hospital and Research Centre were included in the study. The samples were immediately sent to the Microbiology laboratory for further processing according to standard procedure.  </p><p class="abstract"><strong>Results:</strong> Out of 100 cases, 74 were active mucosal type and 26 were active squamous, with Pseudomonas species (33.6%) being the predominant organism. <em>Staphylococcus aureus</em> was the next common organism with MSSA (16.3%) and MRSA (12.5%), CONS were 6.7%. Among the 28 gram-negative bacilli, <em>Klebsiella pneumoniae</em> (7.7%), was followed by <em>Escherichia coli</em> (5.7%), and <em>Proteus mirabilis</em> (4.8%).</p><p class="abstract"><strong>Conclusions:</strong> Pseudomonas species and <em>Staphylococcus aureus</em> are the commonest organisms of CSOM. Ciprofloxacin can be used as a topical agent for treating gram-negative bacilli. Among systemic antibiotics- Linezolid, Amikacin and Imepenam remains the drug of choice.</p><p><br /><br /></p>

scholarly journals A STUDY OF AEROBIC BACTERIOLOGICAL PROFILE ALONG WITH ANTIBIOTIC SUSCEPTIBILITY PATTERN IN CHRONIC SUPPURATIVE OTITIS MEDIA

2020 ◽  
pp. 1-4
Author(s):  
Ajit Damle
Keyword(s):  
Otitis Media ◽  
Antibiotic Sensitivity ◽  
Chronic Suppurative Otitis Media ◽  
Fungal Culture ◽  
Suppurative Otitis Media ◽  
Aerobic Culture ◽  
Appropriate Treatment ◽  
Bacteriological Profile ◽  
Causative Agents ◽  
Bacterial Patterns

Introduction: Chronic suppurative otitis media (CSOM) is a destructive and persistent disease with irreversible sequel and can proceed to serious intra and / or extra cranial complications. Causative agents of infection include bacteria, fungi and viruses with bacteria being the commonest cause. Hence bacteriological studies of CSOM are important for determining effective antibiotic choice and surveillance of bacterial patterns and their relative sensitivities. Materials and Methods:Total 157 patients having CSOM were included in the study. Ear discharge was processed with standard Microbiological procedures. Results: On aerobic culture Staphylococcus aureus 58 (36.96%) was the most common isolate followed by Pseudomonas aeruginosa 35 (21.21%). Fungal culture yielded 19 (11.2%) isolates. Conclusion: Evaluation of microbiological pattern and antibiotic sensitivity of isolates is necessary to decrease the potential risk of complications of CSOM by early institution of appropriate treatment.

scholarly journals A study of microbial gamut and antibiograms in chronic suppurative otitis media

2018 ◽  
Vol 5 (1) ◽  
pp. 110
Author(s):  
Raj Tajamul Hussain ◽  
Sanam Altaf ◽  
Owais Makhdoomi ◽  
Mariya Ali
Keyword(s):  
Otitis Media ◽  
Tertiary Care ◽  
Antibiotic Sensitivity ◽  
Chronic Suppurative Otitis Media ◽  
Fungal Culture ◽  
Care Hospital ◽  
Biochemical Tests ◽  
Suppurative Otitis Media ◽  
Gram Staining ◽  
Sensitivity Pattern

<p class="abstract"><strong>Background:</strong> The aim of the study was to discern the patterns in microbial diversity and the resistogram among the patients suffering from CSOM.</p><p class="abstract"><strong>Methods:</strong> A total number of 100 ear swabs were investigated for the present study. Their gram staining, direct microscopy with KOH, culture sensitivity, and biochemical tests were carried out to identify the organisms and to know their sensitivity pattern. All the swabs were collected from clinically diagnosed cases of chronic suppurative otitis media visiting otolaryngology outpatient department of tertiary care hospital. The study period was one year, from January 2016 to December 2017.  </p><p class="abstract"><strong>Results:</strong> Out of total 100 cases, 90 were culture<strong> </strong>positives, 6 showed no growth and 4 were<strong> </strong>skin contaminants (mirococci). Out of 90 culture positives, fungal culture was positive in 5 (5.5%) while combined bacteria and fungi obtained in 18 (20%) cases and only bacteria in 67 (74.4%) cases. Among the aerobic bacterial isolates, Pseudomonas aeruginosa was the most common bacteria isolated from the bacterial culture (n=36; 34.95%) followed by <em>Staphylococcus aureus </em>(n=28; 27.18%) and <em>Proteus</em> (n=13; 12.62%). Among the fungal isolates,<strong> </strong><em>Aspergillus niger </em>was predominant followed<strong> </strong>by Candida <em>albicans </em>&amp; <em>Aspergillus flavus.</em> Amikacin and imipenem were found to be the most effective antibiotics with low resistance rates.</p><p><strong>Conclusions:</strong> The present study gave an insight into the bacteriological profile of the cases of CSOM and their antibiotic sensitivity patterns. This in turn will ensure rational and judicious use of antibiotics and thus prevent emergence of resistant bugs and also the complications associated with CSOM.</p>

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