<p class="abstract"><strong>Background:</strong> Nasal douching is a best effective and simple treatment procedure for chronic rhinosinusitis. This study compares the efficacy of nasal douching with isotonic saline solution versus ringer lactate solution in patients suffering from chronic rhinosinusitis.</p><p class="abstract"><strong>Methods:</strong> This randomized control trial was conducted among the patients with chronic rhinosinusitis who were attending the outpatient department of Otorhinolaryngology in Chettinad Hospital and Research Institute, Chennai, during the study period from June 2019 to December 2019. After randomization group A and B includes thirty cases of chronic rhinosinusitis each and they received nasal douching with saline and Ringer lactate two times a day for a period of three weeks and assessed using sino-nasal outcome test (SNOT) 20 during pre-treatment and post treatment. Data was entered in Microsoft excel and data analysis was done using SPSS version 17. </p><p class="abstract"><strong>Results:</strong> On assessing the overall SNOT 20 mean score, in both group A and group B, there was statistically significant improvement post treatment score when compare to pre-treatment scores. But the differences in improvement between the two groups were not found to be significant.</p><p class="abstract"><strong>Conclusions:</strong> Though isotonic saline and ringer lactate solution showed significant improvement after treatment both these are same with respect to efficacy in the treatment of douching for chronic rhinosinusitis with no difference in outcome.</p><p class="abstract"> </p>
<p><strong>Background:</strong> Chronic otitis media is the commonest middle ear and mastoid cavity disease, which has the tendency of causing morbidity to the patients ranging from deafness to intracranial complications. Hence this study was done to identify the local bacteriological pattern and its antibiotic sensitivity for treating them with appropriate antibiotic therapy.<strong></strong></p><p><strong>Methods: </strong>This cross-sectional study was done retrospectively with reports of culture and sensitivity of chronic otitis media from microbiology department. The sample was sent from the department of otorhinolaryngology in Chettinad hospital and research institute, Chennai, during the period from January 2018 to January 2020.<strong></strong></p><p><strong>Results: </strong>On assessing about 188 reports, 17 patients had no growth of organism. The commonest organism isolated was <em>Pseudomonas</em> species (33.0%) which was sensitive to imipenem (96.8%), followed by <em>Staphylococcus</em> (28.7%) which was sensitive to linezolid and teicoplanin (98.1%).<strong></strong></p><p><strong>Conclusions: </strong>The study concludes imipenem for <em>Pseudomonas</em> species and linezolid/teicoplanin for <em>Staphylococcus</em>. The appropriate and adequate antibiotic therapy is always recommended for chronic otitis media to avoid complications.<strong></strong></p>
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