Chronic suppurative otitis media: a clinico-microbiological menace

Khatoon, Abida; Rizvi, Meher; Sultan, Asfia; Khan, Fatima; Sharma, Mohit; Shukla, Indu; Khan, Haris M.

doi:10.18203/2320-6012.ijrms20150303

Cited by 18 publications

(20 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The prevalence of ear infection with ESBL producing bacteria was lower compared to other studies in Africa (8.3 and 16.3%) [17,18], Meerut city (8.9%) [28] and India (18.3 and 74.2%) [16,29]. However,astudy in Nigeria reported the absenceof ESBL producing bacteria inear infection [30].…”

Section: Discussionmentioning

confidence: 63%

“…One of the mechanisms of resistance is synthesis of extended spectrum beta-lactamases (ESBL). They are bacterial enzymes capable of hydrolyzing penicillin, first, second and third-generation cephalosporins, and aztreonam, but not the cephamycins or carbapenems [ 14 ].ESBL producing Gram negative bacilli (GNB) are a concern in healthcare setting and in the community [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Extended spectrum beta lactamase producing bacteria among outpatients with ear infection at FelegeHiwot Referral Hospital, North West Ethiopia

2020

View full text Add to dashboard Cite

Background Antibiotic resistant bacteria particularly extended-spectrum beta lactamase (ESBL) producing are of major concern for management of outpatients. They can spread rapidly and are associated with poor patient outcome. However, there is scarcity of information on ear infection with ESBL producing bacteria in Ethiopia. Therefore, this study investigates the prevalence of ear infection with ESBL producing bacteria among outpatients attending Felegehiwot Referral Hospital, Northwest Ethiopia. Methods A hospital based cross-sectional study was conducted from May, 2018 to January, 2019. Demographic and clinical data were collected with face to face interview and were complemented with patient card review. Ear discharge specimens were collected from study participants using swab technique. All ear swab specimens were cultured using standard microbiological techniques. The ESBL producing bacteria were detected by double disc synergy test and interpreted based on Clinical and laboratory Standards Institute Guidelines. Chi-square and fisher's exact tests were calculated to check association between variables. Results A total of 236 patients (male = 138 and female = 98) with ear infection took part in the study. The median age of the participants was 20years. Overall, 10 (4.23%, 95%CI; 2.3-7.6%) of patients had ear infection with ESBL producing bacteria. Other chronic illnesses (p = 0.003), history of hospital visit and treatment (p = 0.006) and history of antibiotic use without physician's prescription (p<0.001) had significant association with prevalence of ESBL producing bacteria in ear infection. The proportion of ear infection with ESBL producing P.mirabilis, P. aeruginosa and K.pneumoniae were 4 (1.7%), 3 (1.3%) and 2 (0.8%), respectively. All ESBL producing isolates were MDR (100%). Overall, 58 (43%) species were MDR. P.aeruginosa

show abstract

Section: Discussionmentioning

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Extended spectrum beta lactamase producing bacteria among outpatients with ear infection at FelegeHiwot Referral Hospital, North West Ethiopia

2020

View full text Add to dashboard Cite

show abstract

“…7 Intra operative complications may occur in tympanoplasty including injury to cochlea with partial or total sensory hearing loss. 2 AB-gap reduction seen in 37 patients (97.4%) in group-I and in group-II, it was 100%. Mild pain found in 19 patients (50%) in cartilage tympanoplasty while it was in 26 patients (68.4%) in temporalis fascia tympanoplasty.…”

Section: Introductionmentioning

confidence: 81%

“…1 Chronic suppurative otitis media is characterized by persistent or recurrent ear discharge for three months or more through perforation of tympanic membrane. 2 Tympanoplasty is well established and standard procedure for closure (repair) of perforated tympanic membranes. 3 There are three approaches for repair of perforated tympanic membrane.…”

Section: Introductionmentioning

confidence: 99%

Comparison of results between cartilage tympanoplasty and temporalis fascia tympanoplasty.

Khan¹,

Tahir²,

Rana

et al. 2020

TPMJ

View full text Add to dashboard Cite

Objectives: To compare the results after performing cartilage tympanoplasty and temporalis fascia tympanoplasty. Study Design: Analytical/Observational study. Setting: Two different hospitals. Social Security Landhi Hospital Karachi and Al-Tibri Medical College & Hospital Malir Karachi. Period: July 2017 to June 2018. Material & Methods: 76 patients were included for this study with both genders who had dry tympanic membrane perforations after taking antibiotics. Age ranges between 18 to 40 years. Patients were divided into two groups, group-I and group-II. In group-I, temporalis fascia tympanoplasty performed under microscope with post aural approach and in group-II, tragal cartilage tympanoplasty performed with the oto-endoscope via permeatal approach. Observed and compare the results of both procedure after 1 day, after 1 week, after 1 month and after 2 months. Variables were bleeding, pain, hearing assessment with pure tone audiometry (PTA) in which air conduction, bone conduction and air-bone gap (AB-gap) measured, Vomiting, vertigo and duration of surgery. Weber test done in all patients on very next day after surgeries in both groups to exclude the damage of vestibulo-cochlear system. Integrity of grafted tympanic membrane examined with oto-endoscope. Results: Weber test performed on 1st post-operated day, it was lateralized towards operated ear which indicate the safety of inner ear. Vomiting and vertigo not found after tympanoplasty in both groups which indicate the safety of vestibular system. There was no blood soaked guaze seen after tympanoplasty in group-II (cartilage tympanoplasty). Bleeding was less in group-II as compare to group-I. 37 patients out of 38 had intact grafted tympanic membrane in group-I while all (38) patients had intact grafted tympanic membrane in group-II. Mean duration of surgery was 65.1 +3.7 minutes in group-II (cartilage tympanoplasty) and mean duration of surgery was 82.0 + 5.6 minutes in group-I (temporalis fascia tympanoplasty). P value was <0.001 is significant. Duration of surgery was less in group-II. Hearing was also improved in both groups after tympanoplasty. Post-operated AB-gap reduction seen in all patients of both groups. Conclusion: Results of both temporalis fascia and cartilage tympanoplasty were almost same but cartilage tympanoplasty is better because it consumed less time, less post-operated bleeding and perception of pain were also less.

show abstract

“…Such high level of MRSA from cases of otitis media is a matter of concern as MRSAs are resistant to beta lactams, cephalosporins, beta lactamase inhibitors leaving narrow treatment options. Recent studies by different authors have reported MRSA ranging from 29% to 83.3% [21,22].…”

Section: Original Research Articlementioning

confidence: 99%

Drug resistant microorganisms isolated from the cases of Otitis media in a tertiary care hospital

Veena

2018

Trop J Pathol Microbiol

View full text Add to dashboard Cite

Chronic suppurative otitis media: a clinico-microbiological menace

Cited by 18 publications

References 10 publications

Extended spectrum beta lactamase producing bacteria among outpatients with ear infection at FelegeHiwot Referral Hospital, North West Ethiopia

Extended spectrum beta lactamase producing bacteria among outpatients with ear infection at FelegeHiwot Referral Hospital, North West Ethiopia

Comparison of results between cartilage tympanoplasty and temporalis fascia tympanoplasty.

Drug resistant microorganisms isolated from the cases of Otitis media in a tertiary care hospital

Contact Info

Product

Resources

About