scholarly journals Clinical presentation and complication of chronic suppurative otitis media with cholesteatoma in a rural setting

Mediscope ◽  
2017 ◽  
Vol 4 (2) ◽  
pp. 25-28
Author(s):  
MS Islam ◽  
MA Gafur ◽  
L Noor ◽  
MR Islam
Keyword(s):  
Otitis Media ◽  
Clinical Presentation ◽  
Chronic Suppurative Otitis Media ◽  
Rural Setting ◽  
College Hospital ◽  
Suppurative Otitis Media ◽  
Intracranial Complication ◽  
Medical College ◽  
The Right ◽  
Almost All

To study the clinical presentations of chronic suppurative otitis media (CSOM) with cholesteatoma and its complication, 96 patients with CSOM from ENT department of a medical college hospital during January 2011 to January 2014 were included in this study. The highest number of cases belonged to the age group of 11-20 years (55.2%), and the number of males and females was 67.2% and 32.8%, respectively. Almost all the patients presented with multiple symptoms. The most common symptoms were discharge from ear(s) (100.0%), hearing impairment (83.3%), earache (15.6%), fleshy mass in ear(s), etc. Of the patients, 67.9% cases were without complication, 26.1% with extracranial complication and 6.3% with intracranial complication. All the cases had a perforation either in the posterior superior marginal (66.5%) or in the attic region (33.5%). Most of the patients were having unilateral CSOM with cholesteatoma, in the right side (64.3%), left side (35.7%), and a few (4.2%) bilateral involvement. Although 83.3% of the patients complained of deafness, audiometric tests were done in 93.7% of the patients excluding 6.4% who had intracranial complication. All of them (93.7% tested) had developed deafness; mild deafness (20.0%), moderate deafness (77.8%), and severe deafness (2.2%). In conclusion, the pattern of clinical presentation and complication of CSOM with cholesteatoma in rural setting may be similar with the pattern involving urban population and early diagnosis of CSOM with cholesteatoma by taking proper history and clinical examination, and timely surgical intervention may be helpful to eradicate the disease and prevent complications.Mediscope Vol. 4, No. 2: Jul 2017, Page 25-28

scholarly journals Microbiological Study of Chronic Suppurative Otitis Media

2019 ◽  
Vol 46 (2) ◽  
pp. 7-9
Author(s):  
Rifat Nousin Shumi ◽  
Abdullah Siddiqe ◽  
Arefa Akter
Keyword(s):  
Otitis Media ◽  
Age Groups ◽  
Chronic Suppurative Otitis Media ◽  
Klebsiella Pneumonia ◽  
Biochemical Tests ◽  
College Hospital ◽  
Suppurative Otitis Media ◽  
Medical College ◽  
Microbiological Profile ◽  
Gram Staining

Chronic suppurative otitis media (CSOM) is a prevailing and notorious infection in developing countries causing serious local damage and threatening complications. The purpose of the present study was determine the microbiological profile of isolates from discharge in CSOM. This study was conducted at out-patient department of ENT at Rajshahi Medical College Hospital, Rajshahi from January 2014 to December 2014. Samples were taken from 185 patients (both male and female) in all age groups suffering from chronic suppurative otitis media. Their Gram staining, culture, and biochemical tests were carried out to identify the organisms. It showed the predominance by staphylococcus aereus (29.13%), followed by Pseudomonas Aeruginosa (22.83%), Streptococcus Pyogen (14.96%), E.Coli (9.44%), Proteus Mirabilis (6.29%), Klebsiella Pneumonia ( 4.72%). Bangladesh Med J. 2017 May; 46 (2): 7-9

Sociodemographic Factors of Atticoantral Chronic Suppurative Otitis Media

2020 ◽  
Vol 26 (2) ◽  
pp. 136-141
Author(s):  
Mohammed Sirazul Islam ◽  
Md Bashir Ahmed ◽  
Nazneen Khan ◽  
AKM Asaduzzaman
Keyword(s):  
Hearing Impairment ◽  
Otitis Media ◽  
Neck Surgery ◽  
Sociodemographic Factors ◽  
Chronic Suppurative Otitis Media ◽  
Military Hospital ◽  
Common Disease ◽  
Suppurative Otitis Media ◽  
The Right ◽  
Almost All

Background: Chronic suppurative otitis media (CSOM) is an inflammatory process in the middle ear cleft. When there is attic or marginal perforation it is called the atticoantral variety of COSM which is manifested as foul smelling aural discharge and hearing impairment. In Bangladesh, chronic suppurative otitis media (CSOM) is a common disease in clinical practice. Objective: The aim of this study was to find out the clinical presentation of atticoantral chronic suppurative otitis media (CSOM) in defence personnel and their families. Methods: A retrospective study was carried out in the Department of ENT and Head-Neck Surgery, Combined Military Hospital (CMH), Dhaka from 01 April 2017 to 31 December 2019.Forty seven patients of Atticoantral variety of CSOM were included by matching inclusion and exclusion criteria. Results: Majority of the patients presented in the second and third decade of life(11-20 years: 29.79%, 21-30 years: 44.68%). All the patients belonged to the soldiers and their families. The maximum numbers of patients were from rural area(51.06%), completed only primary education (48.94%). Most of them lived in a kutcha building. Almost all the patients presented with multiple symptoms. Discharge from ear(s) (100%), and hearing impairment (82.97%) were the leading features. Only (2.14%) had extracranial complication and there was no intracranial complication. Most of the patients were having unilateral atticoantral CSOM, in the right side (61.70%), left side (36.17%) and only one (2.12%) had bilateral involvement. Audiometric tests were done in 100% of the patients and found; mild deafness (19.14%), moderate deafness (78.72%) and moderately severe deafness (2.14%). Conclusion: The frequency of chronic suppurative otitis media is higher in the younger age group and lacking of education. By increasing health awareness of the general people and early diagnosis of atticoantral CSOM and timely surgical intervention may be helpful to eradicate the disease and prevent complications. Bangladesh J Otorhinolaryngol; October 2020; 26(2): 136-141

scholarly journals Antimicrobial susceptibility pattern of pathogenic bacteria of Chronic Suppurative Otitis Media (CSOM) patients through culture and sensitivity in a tertiary level hospital in Khulna

Mediscope ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. 1-6
Author(s):  
Mitun Kumar Paul ◽  
Baishakhi Islam ◽  
KM Reza Ul Haq
Keyword(s):  
Otitis Media ◽  
Antimicrobial Susceptibility ◽  
Pathogenic Bacteria ◽  
Chronic Suppurative Otitis Media ◽  
Susceptibility Pattern ◽  
College Hospital ◽  
Suppurative Otitis Media ◽  
Medical College ◽  
Antimicrobial Susceptibility Pattern ◽  
Culture And Sensitivity

Background: Chronic Suppurative Otitis Media (CSOM) is a chronic disease associated with irreversible consequences and serious intracranial and extracranial complications. Thereby early & effective treatment must be needed to avoid such complications. Objectives: This study was carried out to know antimicrobial susceptibility pattern of pathogenic bacteria through culture and sensitivity for better management and to reduce resistance & morbidity due to CSOM. Methods: After taking proper approval from hospital administration, this study was conducted on 82 patients of clinically diagnosed cases of both Tubo-tympanic & Attico-antral variety of CSOM attending ENT OPD of Gazi Medical College Hospital, Khulna from January 2018 to June 2018. After proper sample collection by sterile aural swabs, they were immediately sent to the microbiology laboratory of Gazi Medical College Hospital, Khulna for bacterial culture, isolation and identification. Routine antibacterial susceptibility was done as per CLSI guidelines. SPSS 18.0 was used for statistical analysis. Results: The commonest pathogens isolated were Staphylococci, Coagulase Negative Staphylococci (CONS), Pseudomonas aeruginosa, Klebsiella spp. & others; mostly showing susceptibility to high end antibiotics like Ceftriaxone and Amoxiclav for staphylococcal infection & piperacillin-tazobactum for Pseudomonal infection. Conclusion: Antibiotic sensitivity pattern determines the prevalent bacterial organism causing CSOM to start empirical treatment for a successful outcome, and thus to prevent the emergence of resistant strains. Mediscope Vol. 7, No. 1: Jan 2020, Page 1-6

Effect of aerobic bacteriology on the clinical presentation and treatment results of chronic suppurative otitis media

1996 ◽  
Vol 110 (4) ◽  
pp. 315-318 ◽  
Author(s):  
Eero Vartiainen ◽  
Jukka Vartiainen
Keyword(s):  
Surgical Treatment ◽  
Otitis Media ◽  
Clinical Presentation ◽  
Chronic Suppurative Otitis Media ◽  
Long Term Results ◽  
Treatment Results ◽  
Suppurative Otitis Media ◽  
Hearing Results ◽  
Significant Difference

AbstractThe effect of aerobic bacteriology on the clinical presentation, complications of the disease and long-term results of surgical treatment was assessed in a cohort of 368 patients with chronic suppurative otitis media. Bacteriological findings showed no significant difference between child and adult patients. Staphylococcus aureus was isolated in cholesteatoma ears more frequently than Pseudomonas aeruginosa, in chronic ears without cholesteatoma the situation was reversed. Bacteriological findings had no significant effect on the incidence of complications caused by the disease. Failures after surgical treatment were most common in Pseudomonas ears. The bacteriology had no significant effect on pre-operative hearing levels nor postoperative hearing results. It was concluded that, in order to improve results of chronic ear sugery, more attention should be paid to pre-operative conservative treatment of chronically discharging ears, especially those infected by P. aeruginosa.

scholarly journals Case Report: Otogenic Lateral Sinus Thrombosis

2020 ◽  
Vol 2 (2) ◽  
pp. 01-03
Author(s):  
Sedrack Matsiko
Keyword(s):  
Otitis Media ◽  
Low Income ◽  
Clinical Presentation ◽  
Sinus Thrombosis ◽  
Acute Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Lateral Sinus ◽  
Suppurative Otitis Media ◽  
Lateral Sinus Thrombosis ◽  
High Prevalence

The availability of effective antibiotic therapy has tremendously reduced the incidence of otogenic lateral sinus thrombosis (OLST) and changed its clinical presentation to a subtle one. The nature of predisposing otogenic disease has also changed from acute otitis media to chronic suppurative otitis media (CSOM). The prevalence of CSOM is still high in low-income economies. With such a high prevalence of CSOM, a good clinical acumen is required to identify and manage OLST. We present a case of chronic suppurative otitis media (CSOM) complicated by OLST.

scholarly journals A clinical study of evaluation of tympanoplasty with mastoidectomy in mucosal chronic otitis media

2019 ◽  
Vol 6 (1) ◽  
pp. 163
Author(s):  
Ritesh Mahajan ◽  
Nidhi Abraham ◽  
Nagaraj T. M.
Keyword(s):  
Otitis Media ◽  
Disease Process ◽  
Chronic Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Medical College ◽  
Cortical Mastoidectomy ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media (CSOM) is one of the most common ear diseases in developing countries with a varying incidence of 3% to 57%. It the disease process is further divided into mucosal type and squamosal type depending on clinical presentation. The mainstay of therapy in CSOM remains surgery which aims at eradication of disease and restoring the hearing mechanism. The main objective of our study was to evaluate the changes and impact of tympanoplasty with mastoidectomy as a surgical treatment modality in mucosal type of CSOM.</p><p class="abstract"><strong>Methods:</strong> A prospective study was conducted in Rajarajeshwari Medical College and Hospital between November 2015 and June 2017, involving 50 patients with mucosal type of chronic otitis media. These patients, after complete clinical examination and hearing analysis, underwent tympanoplasty with cortical mastoidectomy. Follow-up of the patients was done at one month and three months after the surgery where the parameters recorded preoperatively were assessed.  </p><p class="abstract"><strong>Results:</strong> The graft uptake three months after the surgery was 94%. Patients reported a subjective improvement in symptoms of ear discharge, decreased hearing, earache and tinnitus to 94%, 70%, 86% and 78% respectively. There was hearing improvement in ears that had discharge preoperatively and those ears that did not.</p><p class="abstract"><strong>Conclusions:</strong> Chronic suppurative otitis media is a very common problem and it can lead to recurrent ear discharge and hearing problems. Timely intervention is necessary as early diagnosis results in good surgical outcomes and can make an impact on patient’s quality of life.</p>

scholarly journals Microbiology of Chronic Suppurative Otitis Media: An update from a Tertiary Care Hospital in Bangladesh

2021 ◽  
Vol 37 (3) ◽  
Author(s):  
Mst. Romena Khatun ◽  
Kh. Md. Faisal Alam ◽  
Mahmuda Naznin ◽  
Md. Abdus Salam
Keyword(s):  
Otitis Media ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Chronic Suppurative Otitis Media ◽  
Care Hospital ◽  
Suppurative Otitis Media ◽  
Gram Negative ◽  
Medical College ◽  
Gram Positive Bacteria ◽  
Amoxicillin Clavulanate

Objectives: Chronic suppurative otitis media is a major cause of acquired hearing impairment, especially in children of developing countries. The study sought to explore the bacteriological profile and their antimicrobial susceptibility among patients of chronic suppurative otitis media from a tertiary care hospital in Bangladesh. Methods: A cross sectional microbiological study was conducted at the Department of Microbiology, Rajshahi Medical College, Bangladesh from January to December 2019. Aural swabs were collected aseptically from clinically suspected patients irrespective of age and gender attending the ear, nose and throat outpatient department of Rajshahi Medical College Hospital. Aerobic bacterial culture was done and isolates were identified through standard bacteriological identification scheme. Antimicrobial susceptibility testing of isolates was done by modified Kirby-Bauer disk diffusion method following Clinical and Laboratory Standards Institute guidelines. Results: Of 96 swabs, culture yielded a total of 73 bacterial isolates from 68(70.8%) culture-positive plates including 63 (65.6%) unimicrobial and 5 (5.2%) polymicrobial (mixed growth of a pair of bacteria) growths. Frequency distribution revealed, 40(55%) gram-negative and 33(45%) gram-positive bacteria with Staphylococcus aureus was the leading isolate (37%) followed by Pseudomonas aeruginosa (31.5%), Escherichia coli (13.7%), coagulase-negative Staphylococcus (8.2%), Klebsiella pneumoniae (5.5%) and Proteus spp. (4.1%). Gram-positive bacteria were found to be highly susceptible (100%) to Linezolid and Vancomycin followed by Imipenem (83 to 96.3%), while moderate to high resistance (44 to 67%) was observed against Ciprofloxacin, Ceftriaxone, Ceftazidime, Amoxicillin/Clavulanate and Clindamycin. For gram-negative bacteria, susceptibility ranged from 67 to 100% to Imipenem, 67 to 96% to Piperacillin/Tazobactam and 67 to 83% to Gentamicin, while moderate to high resistance (50 to 75%) was observed against Ciprofloxacin, Ceftriaxone, Ceftazidime and Amoxicillin/Clavulanate. Conclusion: Moderate to high level of multidrug-resistance especially to 3rd generation cephalosporins, Ciprofloxacin and Amoxicillin/Clavulanate is an alarming situation. It warns reinforcement of judicious antibiotic prescription and introduction of antibiotic stewardship program in the tertiary care hospitals. doi: https://doi.org/10.12669/pjms.37.3.3942 How to cite this:Khatun MR, Alam KMF, Naznin M, Salam MA. Microbiology of Chronic Suppurative Otitis Media: An update from a Tertiary Care Hospital in Bangladesh. Pak J Med Sci. 2021;37(3):---------. doi: https://doi.org/10.12669/pjms.37.3.3942 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Prevalence and Etiological Agents for Chronic Suppurative Otitis Media in a Tertiary Hospital in Tanzania.

2019 ◽  
Author(s):  
Zephania Saitabau Abraham ◽  
Daudi Ntunaguzi ◽  
Aveline Aloyce Kahinga ◽  
Kassim Babu Mapondella ◽  
Enica Richard Massawe ◽  
...  
Keyword(s):  
Otitis Media ◽  
Microbial Growth ◽  
Tertiary Hospital ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Male Preponderance ◽  
Amoxicillin Clavulanic Acid ◽  
Etiological Agents ◽  
Attic Perforation ◽  
The Right

Abstract Objective: Chronic suppurative otitis media is among the most common otological condition reported in otorhinolaryngology practice commonly attributing to preventable hearing loss. The aim of this study was to determine the prevalence and etiological agents for chronic suppurative otitis media in our department. Results: A total of 5591 patients were recruited in this study and only 79 (1.4%) had chronic suppurative otitis media. A male preponderance 43 (54.4%) was noted in this study and the left ear (58.2%) was more commonly affected compared to the right ear. Central perforation was the commonest pattern of presentation and was reported in 53% of cases though none had attic perforation. Of the 81 processed ear swabs, microbial growth was seen in majority 80 (98.8%) whilst one sample showed no microbial growth whereas 52.5% had polymicrobial growth. Among the isolates, most were gram negative species accounting for 59.7% while gram positive bacteria accounted for 25.6% and fungi accounted for 14.7%. Most of these isolates were facultative anaerobes. Klebsiella pneumoniae (20.2%) was the commonest isolates while Escherchia coli and Pseudomonas aeruginosa were equally least isolated (10.9%). Tested isolates were most sensitive to Ciprofloxacin, Gentamycin, Ceftriaxone and Amikacin and least sensitive to Amoxicillin/clavulanic acid and Ampicillin.

scholarly journals Isolation, Identification of Bacterial Species Causing Chronic suppurative Otitis Media and Detection Some of Their Virulence Factors

2019 ◽  
Vol 24 (7) ◽  
pp. 45
Author(s):  
Yumna Shaker Mahmood1 ◽  
Suha Maher Abed1 ◽  
Amar Mohammed Alwan2
Keyword(s):  
Otitis Media ◽  
Virulence Factors ◽  
Bacterial Species ◽  
Age Groups ◽  
Antibiotic Sensitivity ◽  
Chronic Suppurative Otitis Media ◽  
Biochemical Tests ◽  
Suppurative Otitis Media ◽  
Antibiotic Sensitivity Test ◽  
Almost All

The study is conducted to diagnose the aerobic bacterial species causing chronic suppurative otitis media (CSOM), reveal the antibiotic susceptibility pattern and detect some of their virulence factors. Samples were collected during the period from June till December 2018.  From a total of eighty-two patients admitted to Samarra Hospital and outpatient clinics of both genders with different age groups, 82 bacterial culture are recovered using a cotton swab. Identification of bacterial isolates is performed depending on micro and macroscopic cultural characteristics and biochemical tests. Results of the current work show that the highest infection rates are at the age groups >1 to 5 and 11 to 20 years by (20%). Among eight bacterial species isolated in the current study (S. aureus, P. aeruginosa, K.pneumonia, S.epidermidis, E.coli, P.vulgaris, C. freundii, E. Cloacae), S. aureus had scored the highest rate (41%) of the total infections while the lowest rate was scored by E.Cloacae(1%). The antibiotic sensitivity test suggests that almost all isolates were sensitive to ciprofloxacin and meropenem (96% and 94% respectively) while they were resistant to Cefixime. The ability of bacteria is isolated from CSOM to produce biofilm and some virulence factors (gelatinase, hemolysin, DNase, urease) are investigated the virulence factor results revealed that. S. aureus, P.aeruginosa, K. pneumonia had the ability to produce biofilm and S. aureus, P. aeruginosa  have the ability the highest production for the majority of virulence factors.   http://dx.doi.org/10.25130/tjps.24.2019.128

scholarly journals Clinical study on chronic suppurative otitis media with cholesteatoma

1970 ◽  
Vol 17 (1) ◽  
pp. 42-47 ◽  
Author(s):  
Mohammed Yousuf ◽  
Khorshed A Majumder ◽  
Akter Kamal ◽  
Ahmed M Shumon ◽  
Yeahyea Zaman
Keyword(s):  
Otitis Media ◽  
Rural Areas ◽  
Surgical Intervention ◽  
Chronic Suppurative Otitis Media ◽  
Socioeconomic Conditions ◽  
Suppurative Otitis Media ◽  
Early Referral ◽  
Socioeconomic Condition ◽  
Etiological Factors ◽  
Medical College

Objectives: To find out different etio-pathological factors of the disease and also to rise awareness among all levels of medical practitioners and thus decrease missing of diagnosis by early referral, appropriate surgical intervention, and thereby reduce morbidity and mortality of the patient. Methods: A total of 100 patients with chronic suppurative otitis media (CSOM) were collected from the department of Otolaryngology - Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka Medical College Hospital (DMCH) and Sir Salimullah Medical College and Mitford Hospital Dhaka from January 2003 to February 2004. Patients having CSOM with definitive cholesteatoma with or without complications were included in this study in different age & sex belong to different socioeconomic conditions. Results: One hundred patients of CSOM with cholesteatoma had been included in this study to see the various aspects of the disease with particular attention to know the etiopathology of CSOM with cholesteatoma with or without complications in our perspective. One hundred patients of different age and sex belonging to different socioeconomic conditions were examined meticulously under magnification and investigated as per protocol. The study shows poverty, illiteracy, overcrowding, living in slum with kuntcha floor, bathing in ponds and river with the habit of swimming are the main etiological factors. The study also shows ignorance about primary health care and grave consequences of the disease, nonavailability of trained doctors in the vicinity are also responsible for the development of disease and its complications. Conclusion: The study concluded that by avoiding etiological factors, improving socioeconomic condition & literacy status and by providing trained doctors in the rural areas, the development of the disease & its complications can be reduced and thus saves thousands of lives with early referral and early surgical intervention. Key words: Chronic Suppurative Otitis Media; Cholesteatoma. DOI: 10.3329/bjo.v17i1.7627 Bangladesh J Otorhinolaryngol 2011; 17(1): 42-47

Sign in / Sign up

Export Citation Format

Share Document