STUDY THE CLINICAL FEATURES, SUBCLINICAL AND EVALUATE THE TREATMENT RESULTS OTITIS EXTERNA

2018 ◽  
Vol 8 (6) ◽  
pp. 68-75
Author(s):  
The Nguyen Tu ◽  
Hung Ho Manh ◽  
Loc Nguyen Canh
Keyword(s):  
Bacterial Infection ◽  
Otitis Media ◽  
Clinical Features ◽  
Otitis Externa ◽  
Acute Otitis Media ◽  
Common Disease ◽  
Fungal Culture ◽  
External Ear ◽  
Treatment Results ◽  
Cross Sectional

Objective: To determine the clinical features, subclinical and to evalute the treatment results otitis externa. Material and method: 51 patients with 53 ears were diagnosed otitis externa at Hue University of Medicine and Pharmacy. Methods: Cross sectional and propective studies. Results: Percentage of female (52.9%), male (47.1%). The most common age group is >15 – 30 years old (41.2%). Patients have antecedent with chronic otitis media is about 15.7%. 37.3% patients had used antibiotics, 21.6% had used corticosteroid. Acute otitis externa accounted for 43.4%, chronic stage accounted for 56.6%. Itching of the ear (67.9%), earache (41.9%), fullness (22.6%). External ear canal condition: earwax (58.5%), discharge (35.8%). 13.2% of patients has eardrum perforation. Isolation of microorganisms: fungi (60.8%), bacteria (29.4%), both fungi and bacteria (9.8%). Fungal results: Aspergillus (58.1%), Candida (16.1%), non-fungal culture (16.1%). Results of bacterial identification: S. aureus (80%), P. aeruginosa (15%). In acute otitis externa, the highest rate is bacterial infection (65.3%), chronic otitis externa, the highest rate is fungi (96.7%). In acute otitis media, the pain in the ear when pushed and of the pinna when pulled is 60.9%. Itching is the most symptom in infection by fungi (56.6%), ear pain commonly associated with bacterial infection (24.5%), fullness is most commonly caused by fungi (13.2%). Bacteria S. aureus in otitis externa are most sensitive to vancomycin(100%), gentamicin (76.5%), ciprofloxacin (64.7%). The proportion of patients responding to treatment is 90.6%. In external ear inflammation, the mean time at end of symptom is 6.2 ± 2.79 days. Conclusions: Otitis externa is a common disease, encountered at many ages and treatment has a good result. Key words: otitis externa

scholarly journals POLA PENYAKIT PASIEN RAWAT JALAN DI POLIKLINIK TELINGA, HIDUNG, TENGGOROK - BEDAH KEPALA LEHER BLU RSU PROF. DR. R.D. KANDOU – MANADO PERIODE JANUARI 2010 - DESEMBER 2012

e-CliniC ◽  
2013 ◽  
Vol 1 (3) ◽  
Author(s):  
Elisa E. B. Pembobo ◽  
Steward K. Mengko ◽  
Olivia C. P. Pelealu
Keyword(s):  
Allergic Rhinitis ◽  
Health System ◽  
Otitis Media ◽  
Otitis Externa ◽  
Acute Otitis Media ◽  
Health Financing ◽  
Common Disease ◽  
Local Conditions ◽  
Disease Patterns ◽  
Number Of Patients

Abstract: Health has a great role in improving people's lives. The health system itself is all the activities that have the primary purpose of improving, repairing, or health care. Many things affect the health system in Indonesian as a developing country, among others is people's behavior. This can make the health system spending more responsive to local conditions and the diversity of disease patterns. Moreover, it can also result in the increase of regional disparities of health financing and reduced health information of national importance. This study aimed to determine the pattern of disease in the polyclinic ENT-HN Prof. Dr. R.D. Kandou General Hospital during January 2010 - December 2012. This was a retrospective descriptive study. The highest number of patients was in 2011 which was 2305 patients. The most common disease found in 2010 was obturans wax. In 2011 and 2012, the most common disease was otitis externa. During the period 2010-2012, the highest frequencies were among civilized employees, females, and aged 45-64 years. Conclusion: There were 10 diseases with the highest frequency during 2010-2012. In 2010, obturans wax was the most frequent cases, followed by otitis externa, sinusitis, chronic pharyngitis, acute pharyngitis, rhinitis, corpus alienum MAE, presbyakusis, acute rhinitis, and acute otitis media. In 2011, otitis externa was the most common disease, followed by obturans wax, chronic pharyngitis, sinusitis maxilaris, chronic purulent otitis media, allergic rhinitis, presbyacusis, corpal, and laryngitis. In 2012, otitis externa was still the most frequent, followwed  by obturans wax, chronic pharyngitis, sinusitis maxilaris, presbyacusis, chronic purulent otitis media, allergic rhinitis, laryngitis, and chronic rhinitis Keywords: disease patterns, outpatient, ENT-HN    Abstrak: Kesehatan berperan besar dalam meningkatkan derajat hidup masyarakat. Sistem kesehatan sendiri merupakan semua aktivitas yang memiliki tujuan utama meningkatkan, memperbaiki, atau merawat kesehatan. Banyak hal yang memengaruhi sistem kesehatan di Indonesia sebagai suatu negara berkembang; salah satunya ialah perilaku masyarakat. Hal ini dapat menyebabkan pengeluaran kesehatan menjadi lebih responsif terhadap kondisi lokal dan keragaman pola penyakit; selain itu, dapat juga berdampak pada meningkatnya ketimpangan pembiayaan kesehatan secara regional dan berkurangnya informasi kesehatan yang penting secara nasional. Penelitian ini bertujuan untuk mendapatkan pola penyakit di poliklinik THT-KL BLU RSU Prof. Dr. R.D. Kandou periode Januari 2010 - Desember 2012. Penelitian ini menggunakan metode retrospektif deskriptif. Hasil penelitian memperlihatkan bahwa kunjungan terbanyak pada tahun 2011 yaitu 2305 orang. Pada tahun 2010, penyakit tersering ditemukan serumen obturans. Tahun 2011 dan 2012, penyakit tersering ditemukan ialah otitis eksterna. Pada periode 2010-2012 pekerjaan pasien yang tertinggi ialah PNS, jenis kelamin perempuan, dan usia 45 – 64 tahun. Simpulan: Terdapat 10 jenis penyakit dengan frekuensi terbanyak. Pada periode 2010 secara berurut (mulai dari kunjungan tersering), yaitu: serumen obturans, otitis eksterna, sinusitis, faringitis kronik, faringitis akut, rinitis alergi, korpus alienum, presbiakusis, rinitis akut, dan otitis media akut. Pada periode 2011, yaitu: otitis eksterna, serumen, serumen obturans, faringitis kronik, sinusitis maksilaris, OMPK, rinitis alergi, presbiakusis, korpal, laringitis. Pada periode 2012, yaitu: otitis eksterna, serumen, serumen obturans, faringitis kronik, sinusitis maksilaris, presbiakusis, OMPK, rinitis alergi, laringitis, dan rinitis kronik. Kata kunci: pola penyakit, rawat jalan, THT-KL

scholarly journals Relative Humidity Affects Acute Otitis Media Visits of Preschool Children to the Emergency Department

2021 ◽  
pp. 014556132110091
Author(s):  
Ying-Fang Jiang ◽  
Wen-Wei Luo ◽  
Xin Zhang ◽  
Dong-Dong Ren ◽  
Yi-Bo Huang
Keyword(s):  
Emergency Department ◽  
Preschool Children ◽  
Relative Humidity ◽  
Otitis Media ◽  
Meteorological Factors ◽  
Acute Otitis Media ◽  
Emergency Department Visits ◽  
Preschool Age ◽  
School Age Children ◽  
Cross Sectional

Objective: The associations between climate variables and diseases such as respiratory infections, influenza, pediatric seizure, and gastroenteritis have been long appreciated. Infection is the main reason for acute otitis media (AOM) incidence. However, few previous studies explored the correlation between climatic parameters and AOM infections. The most important meteorological factors, temperature, relative humidity, and fine particulate matter (PM2.5), were included in this study. We studied the relationship between these meteorological factors and the AOM visits. Materials and Methods: It was a retrospective cross-sectional study. A linear correlation and a linear regression model were used to explore the AOM visits and meteorological factors. Results: A total of 7075 emergency department visits for AOM were identified. Relative humidity was found an independent risk factor for the AOM visits in preschool children (regression coefficient = −10.841<0, P = .039 < .05), but not in infants and school-age children. Average temperature and PM2.5 were not correlated with AOM visits. Conclusion: Humidity may have a significant inverse impact on the incidence of AOM in preschool-age children.

scholarly journals Diagnostic methods for acute otitis media in 1 to 12 year old children: a cross sectional study in primary health care

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Pär-Daniel Sundvall ◽  
Chrysoula E. Papachristodoulou ◽  
Lena Nordeman
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Otitis Media ◽  
Clinical Skills ◽  
Acute Otitis Media ◽  
Cross Sectional Study ◽  
Diagnostic Methods ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Health

Abstract Background Otoscopy alone has low sensitivity and specificity for acute otitis media (AOM). Otomicroscopy and pneumatic methods are superior to otoscopy. However, these methods require clinical skills. The use of different diagnostic methods for AOM differs between countries and has not been evaluated in Sweden since new guidelines were introduced in 2010. This study aimed to describe the extent of which diagnostic methods and written advice were used for AOM in children 1 to 12 years old. Methods In this cross-sectional study all general practitioners (GPs) and specialist trainees in primary care (STs) at 27 primary health care centres in Sweden were asked to complete a self-administrated questionnaire including diagnostic approach and the management of AOM; 75% (111/148) responded to the questionnaire. Outcome Measures: GPs versus STs and their gender, the use of otoscopy, pneumatic otoscopy, otomicroscopy, tympanometry and written advice. Logistic regressions were used to evaluate the association between GPs versus STs and their gender and the use of diagnostic methods and written advice. Results To diagnose AOM, 98% of the GPs and STs often or always used otoscopy, in addition to this 17% often or always used otomicroscopy, 18% pneumatic otoscopy and 11% tympanometry. Written advice to parents was provided often or always by 19% of the GPs and STs. The GPs used otomicroscopy more often than STs, adjusted OR 4.9 (95% CI 1.5–17; p = 0.011). For the other diagnostic methods, no differences were found. Female GPs and STs provided written advice more often than male GPs and STs, OR 5.2 (95% CI, 1.6–17; p = 0.0061), adjusted for GP versus ST. Conclusions Otoscopy was by far the most commonly used method for the diagnosis of AOM. Female GPs and STs provided written advice more frequently than did their male colleagues. GPs used the significantly better method otomicroscopy more often than STs, therefore, it is important to emphasise teaching of practical skills in otomicroscopy in the specialist training programme for general practice. A correct diagnosis is important for avoiding potentially harmful antibiotic treatments, antimicrobial resistance and possible delay of other diagnoses.

Temporal bone osteomyelitis and temporoparietal abscess secondary to malignant otitis externa

2009 ◽  
Vol 123 (11) ◽  
pp. 1288-1291 ◽  
Author(s):  
B Alva ◽  
K Chandra Prasad ◽  
S Chandra Prasad ◽  
S Pallavi
Keyword(s):  
Temporal Bone ◽  
Otitis Media ◽  
World Literature ◽  
Otitis Externa ◽  
Acute Otitis Media ◽  
Suppurative Otitis Media ◽  
The Past ◽  
Modified Radical Mastoidectomy ◽  
Malignant Otitis Externa ◽  
Canal Wall Down

AbstractObjective:We report an advanced presentation of osteomyelitis of the temporal bone secondary to malignant otitis externa.Method:We present a case report and a review of the world literature concerning osteomyelitis of the temporal bone secondary to malignant otitis externa.Results:A 60-year-old diabetic man developed osteomyelitis of the temporal bone and a temporoparietal abscess as advanced complications of malignant otitis externa. He was successfully treated in our institution using a post aural incision after draining the abscess and excising the fistula, a modified radical mastoidectomy with canal wall down procedure with sequesterectomy and debridement of surrounding area done.Conclusion:The terms ‘osteomyelitis of the temporal bone’, ‘skull base osteomyelitis’ and ‘malignant otitis externa’ have not been clearly defined, and have in the past often been used interchangeably in the literature. Osteomyelitis of the temporal bone can occur secondary to malignant otitis externa, acute otitis media, chronic suppurative otitis media or trauma. Here, we present the management of an advanced case of osteomyelitis of the temporal bone.

scholarly journals Prevalence and Clinical Features of Atopic Dermatitis in China

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Xin Wang ◽  
Lin-Feng Li ◽  
Da-yu Zhao ◽  
Yi-wei Shen
Keyword(s):  
Atopic Dermatitis ◽  
Bacterial Infection ◽  
Clinical Features ◽  
Population Based ◽  
Cross Sectional Study ◽  
Morbidity Rate ◽  
Cross Sectional ◽  
Increased Risk ◽  
Tertiary Hospitals ◽  
History Of

Background. The epidemiology of atopic dermatitis (AD) in Chinese outpatients is yet to be clarified.Objectives. To investigate population-based prevalence and clinical features of AD in Chinese outpatients.Methods. A multicenter cross-sectional study was conducted in outpatients with eczema or dermatitis from 39 tertiary hospitals in 15 provinces.Results. This study included 682 patients diagnosed with AD, with the mean age of28.8±20.1years and the median course of5.3±6.9years. AD patients had more severe itching (30.4% versus 13.8%,p<0.001) and clinically suspected bacterial infection (21.7% versus 16.1%,p<0.001) than those of other types of dermatitis. Older patients were more susceptible to have a history of flexion dermatitis (p<0.001), bacterial infection (p=0.005), and severe itching (p<0.001). Outpatients with clinically suspected bacterial infection had 3.53-fold increased risk of AD than those without it (p<0.001). The morbidity rate of AD in the (20–25°N) region is 2.86 times higher than that in the (40–45°N) region [OR (95% CI): 0.352 (0.241–0.514),p<0.001].Conclusions. AD is characterized by unique clinical/demographic features. Bacterial infection and latitude region may have an impact on the incidence of AD in China.

scholarly journals A study of complications of chronic suppurative otitis media at tertiary care hospital

2020 ◽  
Vol 6 (2) ◽  
pp. 330
Author(s):  
Bhagirathsinh D. Parmar ◽  
Sushil Jha ◽  
Vikas Sinha ◽  
Nirav Chaudhury ◽  
Gavendra Dave
Keyword(s):  
Otitis Media ◽  
Tertiary Care ◽  
Acute Otitis Media ◽  
Neck Surgery ◽  
Study Data ◽  
Chronic Suppurative Otitis Media ◽  
Common Disease ◽  
Care Hospital ◽  
Suppurative Otitis Media ◽  
Intracranial Complications

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media (CSOM) is a still common disease in developing country and is found sometimes difficult to treat. Different complications can develop inspite of availability of higher antibiotics. In pre-antibiotic era, complications of acute otitis media and CSOM were very common and lead to high mortality. Inspite of initial decline in the complication of CSOM due to higher antibiotics, the incidences are still on rise. CSOM remains a serious disease, particularly in developing countries and CSOM-related complications are still found life-threatening. The aim and objective was to study various clinical presentations and management of CSOM related complications.</p><p class="abstract"><strong>Methods:</strong> All patients of chronic supurrative otitis media with intra or extracranial complication who were admitted in Department of Otorhinolaryngology Head and Neck surgery, Sir. T. General Hospital, Government Medical College, Bhavnagar from July 2015 to December 2018 was included in this study. Data of clinical presentation, associated complication, management, and follow-up were analysed.  </p><p class="abstract"><strong>Results:</strong> Out of 250 patients of CSOM admitted during these 3 years in ENT Department, 36 patients presented with CSOM related complications. 15 patients presented with intracranial complications and 21 patients presented with extracranial complications.</p><p class="abstract"><strong>Conclusions:</strong> Inspite of availability of higher antibiotics, CSOM related complications are still common. In all the patients require higher intravenous antibiotics (which crosses blood brain barrier) followed by mastoid surgeries.</p>

scholarly journals Hubungan Rinitis Alergi Dengan Otitis Media Akut Pada Anak Di RSUD Dr. H Abdul Moeloek Bandar Lampung Tahun

2021 ◽  
Vol 1 (3) ◽  
pp. 198-203
Author(s):  
Muslim Kasim ◽  
Arti Febriyani Hutasuhut ◽  
Tan’im Arief ◽  
Farah Ulya Suryadana
Keyword(s):  
Allergic Rhinitis ◽  
Data Analysis ◽  
Otitis Media ◽  
Research Design ◽  
Middle Ear ◽  
Acute Otitis Media ◽  
Sampling Technique ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional

ABSTRACT: RELATIONSHIP BETWEEN ALLERGIC RHINITIS AND ACUTE OTITIS MEDIA IN CHILDREN IN RSUD DR. H ABDUL MOELOEK  BANDAR LAMPUNG  Introduction: Background : Acute Otitis Media (AOM) is an inflammation that happen in the middle ear and is very common, especially in children. Children are susceptible to acute otitis media (AOM) due to the shorter and horizontal anatomy of the eustachian tube. Allergic Rhinitis is one of the risk factos that caused acute otitis media in children.Purpose : The purpose of this study was to determine the correlation between Allergic Rhinitis and Acute Otitis Media in ChildrenMethod: This study used an observational analytic research with cross sectional research design. The sample in this study was 59 patients diagnosed with acute otitis media at RSUD Dr. H. Abdul Moeloek in 2019-2020. The sampling technique used total sampling. Data analysis using Chi-Square testResult: The results of this study indicated that there was a relationship between allergic rhinitis and acute otitis media in children with p value = 0,047(<0,05) with an OR = 0,146 (95%CI 0,17-1,232). Conclusion: There is a relationship between Allergic Rhinitis and Acute Otitis Media in children at Dr. H Abdul Moeloek Bandar Lampung in 2019-2020 Keyword : Allergic Rhinitis, Acute Otitis Media, Children  INTISARI: HUBUNGAN RINITIS ALERGI DENGAN OTITIS MEDIA AKUT PADA ANAK DI RSUD DR. H ABDUL MOELOEK BANDAR LAMPUNG  Latar belakang: Otitis Media Akut (OMA) merupakan peradangan yang terjadi pada telinga bagian tengah dan sangat sering terjadi terutama pada anak-anak. Anak-anak rentan terkena Otitis Media Akut (OMA) dikarenakan bentuk anatomi tuba eustachius yang lebih pendek dan horizontal. Rinitis Alergi merupakan salah satu faktor risiko yang menyebabkan Otitis Media Akut pada anak.Tujuan: Tujuan penelitian ini adalah untuk mengetahui hubungan Rinitis Alergi dengan Otitis Media akut pada Anak.Metode: Penelitian analitik observasional dengan desain penelitian cross sectional. Sampel sebanyak 59 pasien dengan diagnosa otitis media akut anak di RSUD Dr. H. Abdul Moeloek tahun 2018. Teknik pengambilan sample menggunakan total sampling. Analisis data menggunakan uji Chi-SquareHasil : Hasil penelitian ini menunjukkan bahwa terdapat hubungan antara rinitis alergi dengan otitis media akut pada anak dengan p value = 0,047(<0,05) dengan nilai OR = 0,146 (95%CI 0,17-1,232).Kesimpulan : Terdapat hubungan antara Rinitis Alergi dengan Otitis Media Akut pada anak di RSUD Dr. H Abdul Moeloek Bandar Lampung tahun 2019-2020 Kata Kunci : Rinitis Alergi, Otitis Media Akut, Anak  

scholarly journals Status of pulmonary fungal pathogens among individuals with clinical features of pulmonary tuberculosis at Mbarara University Teaching Hospital in Southwestern Uganda

2021 ◽  
Vol 8 ◽  
pp. 204993612110424
Author(s):  
Israel Kiiza Njovu ◽  
Benson Musinguzi ◽  
James Mwesigye ◽  
Kennedy Kassaza ◽  
Joseph Turigurwa ◽  
...  
Keyword(s):  
Pulmonary Tuberculosis ◽  
Clinical Features ◽  
Fungal Pathogens ◽  
Study Participant ◽  
University Teaching ◽  
Blue Staining ◽  
Hiv Positive ◽  
Fungal Culture ◽  
Cross Sectional Survey ◽  
Cross Sectional

Background: Pulmonary mycoses are important diseases of the respiratory tract caused by pulmonary fungal pathogens. These pathogens are responsible for significant morbidity and mortality rates worldwide; however, less attention has been paid to them. In this study we determined the prevalence of pulmonary fungal pathogens among individuals with clinical features of pulmonary tuberculosis at Mbarara Regional Referral Hospital. Method: This was a hospital based cross sectional survey. Sputum samples were collected from each study participant. For each sample, the following tests were performed: Sabouraud dextrose agar for fungal culture, GeneXpert for Mycobacteria tuberculosis (MTB) and potassium hydroxide for fungal screening. Filamentous fungal growth and yeasts were further examined with lactophenol cotton blue staining and germ tube respectively. Results: Out of 113 study participants, 80 (70.7%) had pulmonary fungal pathogens whilst those with pulmonary tuberculosis numbered five (4.4%). Candida albicans [21 (22.58%)] and Aspergillus species [16 (17.20%)] were the pathogens most identified among others. Two (1.7%) TB GeneXpert positive participants had fungal pathogens isolated from their sputum samples. We established a prevalence of 57 (71.3%) for pulmonary fungal pathogen (PFP) isolates, three (60.0%) for MTB in HIV positive patients and 18 (22.5%) for PFP, and zero (0.0%) for MTB in HIV negative patients. On the other hand, two (100%) HIV positive patients had both PFP isolates and MTB. Conclusion: Our findings highlight the diversity of neglected pulmonary fungal pathogens whose known medical importance in causing pulmonary mycoses cannot be overemphasised. Therefore this presents a need for routine diagnosis for pulmonary mycoses among TB suspects and set-up of antimicrobial profile for pulmonary fungal isolates to support clinical management of these cases.

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