Bacteriological profile of chronic suppurative otitis media in a tertiary care hospital

Abstract

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Chronic suppurative otitis media is a disease affecting the middle ear and mastoid cavity, leading to considerable morbidity by causing hearing loss; and even life threatening complications in squamosal type of CSOM, if left untreated over long periods of time. Hence it is imperative to treat the persistent ear discharge in CSOM according to the antibiotic susceptibility of the organisms isolated. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This is a prospective cross sectional study done in 135 patients of chronic suppurative otitis media presenting with active ear discharge. Sterile swabs were used to collect pus from discharging ear and sent for culture sensitivity. </span></p><p class="abstract"><strong>Results:</strong> <em><span lang="EN-IN">Staphylococcus</span></em><span lang="EN-IN"> and <em>Pseudomonas aeruginosa</em> were the most common organisms isolated in this study. <em>Pseudomonas aeruginosa</em> was most sensitive to Piperacillin-Tazobactam, followed by Meropenem and Ciprofloxacin. <em>Staphylococcus aureus </em>was most sensitive to Linezolid followed by Cefoxitin and Erythromycin. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Treating active discharge of CSOM according to pus culture sensitivity pattern reduces the bacterial load in the middle ear and makes the ear more favourable for graft uptake.</span></p><p class="abstract"> </p><p class="keywords"><strong>Keywords: </strong><span lang="EN-IN">Chronic suppurative otitis media, Aerobic bacterial culture, Antibiotic susceptibility, <em>Pseudomonas aeruginosa</em>, <em>Staphylococcus aureus</em></span></p>

Study of bacterial pathogens causing chronic suppurative otitis media and the antibiotic susceptibility pattern of the isolates at a tertiary care centre in Kochi

“…However the sensitivity to piperacillin tazobactam and ceftazidime was low, compared to similar studies done elsewhere which demonstrated a higher sensitivity to ceftazidime and piperacillin tazobactam. 19,23 However, a good sensitivity was observed to the aminoglycosides and quinolones which again was in contrast to other similar studies done. 25 28% of Pseudomonas aeruginosa isolates were 2 multidrug resistant ,which was quite high.…”

“…This was similar to the findings of Patel et al and Rangaiah et al in Gujarat and Karnataka respectively. 18,19 The increased incidence in this age group may be due to increased environmental and occupational exposure in this age group. In our study population, 52 were males and 48 were females, indicating a slight male predominance.…”

“…This was in agreement with some other studies while contradicting certain other studies. [18][19][20][21] The majority i.e.76 patients presented with right sided ear discharge, whereas 24 presented with left ear discharge. There were no cases of bilateral ear discharge.…”

Effect of comprehensive nursing intervention in preventing postoperative pain, complications, and psychological pressure in the otolaryngology department

“…[14–16] Diversified psychological care could effectively reduce the anxiety and depression of patients, alleviate their pessimistic and desperate metal status, and finally improve negative emotions. [17–19] In the present study, patients with ear, nose, and throat (ENT) symptoms were selected as subjects, and the close and distant impact of comprehensive nursing on patients was subsequently analyzed. The report is presented, as follows.…”

A cross sectional study on the bacteriologic pattern of chronic otitis media and its antibiotic sensitivity

“…The swabs were cultured on Blood and MacConkey's agar and overnight incubation was done at 37°C. 6 According to standard microbiological methods, the organisms were isolated. Kirby-Bauer disc diffusion method was performed to identify the antimicrobial susceptibility with the clinical and laboratory standards institute guidelines.…”