Original Research Article
Year: 2018 | Month: August | Volume: 5 | Issue: 8 | Pages: 210-214
Aerobic Bacteriology of Chronic Suppurative Otitis Media in Rajsamand District of Rajasthan
Rajiv Kumar Saxena1, Hemendra Bamaniya2, H.S.Bhuie3, Bandana Talukdar4, Shweta Bohra5
1Associate Professor, 2Assistant Professor, 3Senior Professor, 4Senior Resident,
Department of ENT, Ananta Institute of Medical Sciences, Rajsamand
5Assistant Professor, Department of Microbiology, Ananta Institute of Medical Sciences, Rajsamand
Corresponding Author: Hemendra Bamaniya
ABSTRACT
Objective: The objective of our study was to examine the aerobic bacteriological profile and antibiotic sensitivity pattern to locally available antibiotics in chronic suppurative otitis media (CSOM) in Rajsamand district of Rajasthan state in India.
Material and methods: This prospective study was conducted in the department of otorhinolaryngology, Ananta Institute of Medical Sciences, Rajsamand for a period of one year from February 2017 to February 2018. Aural swabs were taken on the first day of attendance of the patients to ENT OPD before any local medication was given to the patient, using sterile cotton wool swabs and sterile ear specula and sent for culture and sensitivity.
Results: A total of 150 cases of CSOM were selected for the study out of which 109 cases were of unilateral CSOM and 41 cases were having bilateral disease. Thus, a total of 191 swabs were taken for analysis. Out of 191 swabs processed, microbial growth was seen in 176 samples while 15 samples showed no growth. 121 (68.75%) samples showed mono-microbial growth while 55 (31.25%) samples showed poly-microbial growth. The peak incidence of CSOM was found in the age group 31-45 years (34.66%) followed by age group 16-30 years (27.33%). Females (62%) were more commonly affected than males (38%) and the female: male ratio was 1.6:1. Pseudomonas aeruginosa (38.63%) was the most commonly isolated bacterial pathogen followed by staphylococcus aureus (35.22%) and klebsiella sp. (10.22%).
Conclusion: A thorough and precise knowledge of the etiological agents causing CSOM and their antimicrobial susceptibility is of essential importance for an effective and efficient treatment and thus in further prevention of both complications and development of antibiotic resistance which is becoming more common now a days.
Key words: Chronic suppurative otitis media, antibiotic resistance, staphylococcus aureus, Amikacin
[PDF Full Text]