Microbiological Profile of Chronic Supurative Otitis Media

Shrestha, B; Amatya, R; Shrestha, I; Ghosh, Indranil

doi:10.3126/njenthns.v2i2.6793

Cited by 47 publications

(46 citation statements)

References 5 publications

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“…A total of 55 (22.9%) patients of the total OM cases were found in this age group. Previous study done by Ahmad and Kudi, 15 Shrestha et al, 3 Jha et al 16 and dissertation conducted by Koppad 10 also found similar result. It was in contrast to the study done by Raakhee et al, where the prevalence was in age group of 16-25 years.…”

Section: Discussionsupporting

confidence: 78%

“…Among the isolates, Staphylococcus aureus (36.11%) was found to be the most predominant organism followed by Pseudomonas aeruginosa 39%). The result is also in harmony with the study done by Shrestha et al, 3 Kristo and Buljan, 8 Ayson et al 23 and Nia et al 24 The frequency of Staphylococcus aureus in middle ear infections can be attributed to their ubiquitous nature and high carriage of resistant strains in the external auditory canal and upper respiratory tract. 25 The second most common organism isolated was Pseudomonas aeruginosa (33.33%).…”

supporting

confidence: 79%

“…More than 55% of these cases occur in school going children, most of them belonging to the lower socio-economic class. 3 Development and spread of resistant bacteria due to the over and indiscriminate use of antibiotics was a global public health threat. 4 Reduction of the incidence of OM is greatly prioritized with the early diagnosis of OM, its etiological agents and antibiotic susceptibility pattern.…”

Section: Introductionmentioning

confidence: 99%

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Bacteriological Study of Otitis Media and Its Antibiotic Susceptibility Pattern

Basnet

Sharma

Rana

et al. 2017

J Nepal Health Res Council

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Background: Otitis Media is a prevailing and notorious infection in developing countries causing serious local damage and threating complication. Mainly in developing countries like Nepal, Otitis Media results because of illiteracy, poverty and poor hygiene. The aim of this study was to determine the profile of Otitis Media, its causative agents and their antibiotic susceptibility pattern. Methods:The study included 263 pus samples from 240 patients attending ENT department of Bharatpur hospital from May 2015 to January 2016. Samples were processed in microbiology department for bacteria using standard operating protocol. Antibiotic susceptibility testing was performed for all bacterial isolates by Kirby Bauer disc diffusion method and the results were interpreted according to clinical and laboratory standard institute (CLSI) guideline. Results:Out of 240 patients, 121 were female and 119 were male. Highest incidence of Otitis Media was observed in 1-10 year age group. Out of 263 samples taken from 240 patients, 216 showed bacterial growth. Gram negative bacteria predominated and the most common bacteria isolated were Staphylococcus aureus 36.11% followed by Pseudomonas aeruginosa 33.33% and Coagulase Negative Staphylococci 8.08%. All bacterial isolates were sensitive to gentamycin. Staphylococcus aureus was sensitive to Amikacin and gentamycin. All gram negative bacterial isolates were sensitive to Imipenem and gentamycin. 100% of Pseudomonas aeruginosa was sensitive to Imipenem. Conclusions:Staphylococcus aureus was the most predominant organism isolated from the pus swab followed by Pseudomonas aeruginosa and all the isolated organisms were sensitive to Gentamycin.

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Section: Discussionsupporting

confidence: 78%

supporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

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Bacteriological Study of Otitis Media and Its Antibiotic Susceptibility Pattern

Basnet

Sharma

Rana

et al. 2017

J Nepal Health Res Council

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“…S, Janardhan Rao R 10 and V. K. Poorey and Arati lyer, 8 showing younger patients presenting more with the disease. Females dominated the number in this study, comparable to the study conducted in Nepal by Shrestha BL et al, 14 but contradictory findings were seen in the study of V. K. Poorey and Arati lyer 8 and Harvinder Kumar, Sonia Seth 11 in which males' outnumbered females. The study was conducted on 150cases from which 198 bacterial and fungal isolates were procured.…”

Section: Observations and Resultssupporting

confidence: 61%

Microbiological Evaluation of Active Chronic Otitis Media at Base Hospital Srikot, Uttarakhand

Bisht¹,

Sikarwar²,

Pal³

et al. 2014

jemds

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AIMS:The purpose of the study was to determine the prevalence of microbiological agents in active COM, in Garhwal hill region and establish antimicrobial susceptibility pattern of these micro-organisms. MATERIAL AND METHODS: The study was conducted in Outpatient Department of Otorhinolaryngology of Base Hospital Srikot, Uttarakhand. STATISTICAL ANALYSIS: SPSS version-17 was used. OBSERVATIONS & RESULTS: The age of patient ranged between age 18 and 80years. Out of 150 cases 54.66% were females and 45.33% males. Peak age of presentation was 18-30 years. Bacteriological and mycological study showed mixed infections. Bacterial isolates were found to be present in 153 cases, out of which aerobic constituted 74.50%, rest were anaerobic (25.49%). Fungus was isolated in 22.72% of cases with bacterial overlapping. Staphylococcus aureus was the commonest aerobic bacteria. Commonest anaerobes Peptostreptococus and among fungus Candida was found with highest frequency. Staphylococcus aureus showed highest sensitivity to Cephalosporins and least sensitivity to penicillin. Pseudomonas aerugenosa showed highest sensitivity to ciprofloxacin and least sensitivity to erythromycin and penicillin. E. coli showed highest sensitivity to amikacin and cefotaxime. CONCLUSION: Younger age group is most commonly affected, implying that early detection and prompt treatment during early stages can prevent major complications. Staphylococcus aureus was the commonest bacteria followed by Pseudomonas aerugenosa. The bacterial growth had a mixed infection pattern and single antibiotic therapy was not sufficient for the proper control of infection. A combination of two or more antibiotics covering both gram positive and gram negative bacteria will have better result than a single antibiotic.

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“…11 Our study has shown that Pseudomonas aeruginosa (38%) and Staphylococcus aureus (23.15%) are the major pathogen involved in the etiology of CSOM, which is at par with some other studies. [7][8][9]12 The isolates showed maximum sensitivity to piperacillin (41%) and levofloxacin (41%). Sensitivity to amikacin and netilmicin were seen in 36% of isolates.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of antimicrobial sensitivity pattern of chronic suppurative otitis media in a tertiary care hospital of West Bengal, India

Mondal

Banerjee

Das

2017

Int J Basic Clin Pharmacol

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Background: Chronic suppurative otitis media is a common infectious disease in our country. The micro-organisms commonly causing the disease and their antibiotic sensitivity pattern is important for treatment. This study was conducted to evaluate the antimicrobial sensitivity pattern of the common microorganisms in patients with chronic suppurative otitis media in our tertiary care hospital.Methods: The study was carried out from July 2013 to December 2013 at the ENT out-patient department of a tertiary care hospital in West Bengal. 100 patients aged 18 to 60 years of either sex, with unilateral or bilateral active chronic suppurative otitis media attending the out- patient clinic were included in the study. Pus samples were collected from the discharging ears and sent for isolating the organisms and susceptibility testing.Results: A total number of 108 ear swabs were collected from the 100 recruited patients of which 15 (13.88%) were sterile and 93 (86.11%) showed presence of organisms. Pseudomonas aeruginosa 41(38%) was the commonest organism isolated, followed by Staphylococcus aureus 25(23.15%). The antimicrobial profile of the microorganisms reveals maximum sensitivity of the isolated organisms to piperacillin and levofloxacin.Conclusions: In our study, Pseudomonas aeruginosa (38%) and Staphylococcus aureus (23.15%) are the major pathogens involved in the etiology of CSOM. The isolates showed maximum sensitivity to piperacillin (41%) and levofloxacin (41%). As piperacillin is available only in parenteral form and is also costly, topical levofloxacin can be recommended in empirical treatment of CSOM.

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Microbiological Profile of Chronic Supurative Otitis Media

Abstract: Nepalese Journal of ENT Head and Neck Surgery Vol.2 No.2 Issue 2 (July-Dec 2011) 6-7 DOI: http://dx.doi.org/10.3126/njenthns.v2i2.6793

Cited by 47 publications

References 5 publications

Bacteriological Study of Otitis Media and Its Antibiotic Susceptibility Pattern

Bacteriological Study of Otitis Media and Its Antibiotic Susceptibility Pattern

Microbiological Evaluation of Active Chronic Otitis Media at Base Hospital Srikot, Uttarakhand

Evaluation of antimicrobial sensitivity pattern of chronic suppurative otitis media in a tertiary care hospital of West Bengal, India

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