Description of Patients with Chronic Suppurative Otitis Media at H. Adam Malik Hospital Medan 2016-2018

Abstract

Background: Chronic suppurative otitis media (CSOM) is a common cause of hearing loss in developing countries. CSOM is a disease with high prevalence, and if not treated properly, it can lead to various complications that lead to decreased quality of life and death. The incidence of chronic suppurative otitis media in multiple regions in Indonesia is still relatively high. It can be estimated that there are 6.6 million people with CSOM from the 220 million population of Indonesia. Objective: This study aimed to determine the characteristics of chronic suppurative otitis media patients at RSUP H. Adam Malik Medan from January 2016 to December 2018. Method: This study was a retrospective descriptive study using 188 medical records of patients diagnosed primarily with chronic suppurative otitis media at H. Adam Malik General Hospital Medan from January 2016 to December 2018. Results: From 188 patients with CSOM, 69 patients (36.7%) were in the 17-25 year age group. Most sufferers were male, about 125 patients (66.5%). Based on the level of education, the highest proportion was in primary school, with about 55 patients (29.3%). Based on the occupation, the highest proportion did not work as much, 62 patients (33%). The main complaint was ear discharges of about 109 patients (58%). The most common type of perforation was a central perforation, about 72 patients (38.3%). The highest proportion by type was a benign type of CSOM, about 112 patients (59.6%). Mastoiditis complications were the most common complications, about 98 patients (52.1%). The highest proportion of therapy with drugs was 83 patients (44.2%). The highest culture was 149 patients (79.2%) with Pseudomonas aeruginosa as a result.