Share This Article:

Clinical Application of a Microbiological Study on Chronic Suppurative Otitis Media

Abstract Full-Text HTML Download Download as PDF (Size:147KB) PP. 290-294
DOI: 10.4236/ijohns.2013.26060    3,589 Downloads   6,205 Views   Citations

ABSTRACT

Our prospective study conducted over a period of 9 months includes 100 samples of ear discharge collected from 90 patients suffering from tubo-tympanic type of chronic suppurative otitis media (CSOM). The ear discharge which is collected with sterile swabs is subjected to Gram’s staining and culture of the causative organism. Antibiotic sensitivity test of cultured bacterial growth is undertaken to know the susceptibility of the causative organism. Of the 100 samples, 62 were culture positive where Pseudomonas aeruginosa was the most common pathogen followed by Staphylococcus aureus. Most of the cultured organisms in our study were sensitive to drug Ciprofloxacin. The outcome of our study enabled us to set an empirical medical treatment for an early resolution of ear discharge and inflammation in our patients with CSOM as we could understand the aetiological pathogens and their susceptibility pattern. Effective medical treatment in obtaining a discharge free ear prior to surgical treatment led us to improve the surgical outcome in our patients with CSOM.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

P. Srinivas Moorthy, J. Lingaiah, S. Katari and A. Nakirakanti, "Clinical Application of a Microbiological Study on Chronic Suppurative Otitis Media," International Journal of Otolaryngology and Head & Neck Surgery, Vol. 2 No. 6, 2013, pp. 290-294. doi: 10.4236/ijohns.2013.26060.

References

[1] J. Acuin, “Chronic Suppurative Otitis Media, Burden of Illness and Management Options,” WHO Publications, 2004.
[2] National Committee for Clinical Laboratory Standards (NCCLS), “Performance Standards for Antimicrobial Disc Susceptibility Test,” 6th Edition, Approved Standard Wayne, PA, NCCLS, 1997, NCCLS Document M2-A6.
[3] V. Khanna, J. Chander, N. M. Nagarkar and A. Dass, “Clinicomicrobiologic Evaluation of Active Tubotympanic Type Chronic Suppurative Otitis Media,” Journal of Otolaryngology, Vol. 29, No. 3, 2000, pp. 148-153.
[4] V. K. Poorey and A. Iyer, “Study of Bacterial flora in CSOM and Its Clinical Significance,” Indian Journal of Otolaryngology and Head & Neck Surgery, Vol. 54, No. 2, 2002, pp. 91-95.
[5] T. Deb and D. Ray, “A Study of the Bacteriological Profile of Chronic Suppurative Otitis Media in Agartala,” Indian Journal of Otolaryngology and Head & Neck Surgery, Vol. 64, No. 4, 2012, pp. 326-329.
http://dx.doi.org/10.1007/s12070-011-0323-6
[6] S. Nikakhlagh, A. D. Khosravi, A. Fazlipour, M. Safarzadeh and N. Rashidi, “Microbiologic Findings in Patients with Chronic Suppurative Otitis Media,” Journal of Medical Sciences, Vol. 8, 2008, pp. 503-506.
http://dx.doi.org/10.3923/jms.2008.503.506
[7] M. A. Kenna, C. D. Bluestone, J. S. Reilly and R. P. Lusk, “Medical Management of Chronic Suppurative Otitis Media without Cholesteatoma in Children,” Laryngoscope, Vol. 96, No. 2, 1986, pp. 146-151.
http://dx.doi.org/10.1288/00005537-198602000-00004
[8] K. Sharma, A. Aggarwal and P. M. S. Khurana, “Comparison of Bacteriology in Bilaterally Discharging Ears in Chronic Suppurative Otitis Media,” Indian Journal of Otolaryngology and Head & Neck Surgery, Vol. 62, No. 2, 2010, pp. 153-157.
http://dx.doi.org/10.1007/s12070-010-0021-9
[9] C. H. Jang and S. Y. Park, “Emergence of Ciprofloxacin-Resistant Pseudomonas in Chronic Suppurative Otitis Media,” Clinical Otolaryngology and Allied Sciences, Vol. 29, No. 4, 2004, pp. 321-323.
http://dx.doi.org/10.1111/j.1365-2273.2004.00835.x
[10] J. E. Dohar, P. A. Hebda, R. Veeh, M. Awad, et al., “Mucosal Biofilm Formation on Middle-Ear Mucosa in a Nonhuman Primate Model of Chronic Suppurative Otitis Media,” Laryngoscope, Vol. 115, No. 8, 2005, pp. 1469-1472.
http://dx.doi.org/10.1097/01.mlg.0000172036.82897.d4
[11] S. J. Daniel, “Topical Treatment of Chronic Suppurative Otitis Media,” Current Infectious Disease Reports, Vol. 14, No. 2, 2012, pp. 121-127.
http://dx.doi.org/10.1007/s11908-012-0246-8
[12] I. Brook, “The Role of Anaerobic Bacteria in Chronic Suppurative Otitis Media in Children: Implications for Medical Therapy,” Anaerobe, Vol. 14, No. 6, 2008, pp. 297-300.
http://dx.doi.org/10.1016/j.anaerobe.2008.12.002
[13] A. O. Ibekwe, Z. Al Shareef and A. Benayam, “Anaerobes and Fungi in Chronic Suppurative Otitis Media,” The Annals of Otology, Rhinology, and Laryngology, Vol. 106, No. 8, 1997, pp. 649-652.
[14] P. Talwar, A. Chakrabarti, P. Kaur, et al., “Fungal Infection of Ear with Special Reference to Chronic Suppurative Otitis Media,” Mycopathologia, Vol. 104, No. 1, 1988, pp. 47-50. http://dx.doi.org/10.1007/BF00437923
[15] A. Yildirim, H. Erdem, S. Kilic, S. Yetiser and A. Pahsa, “Effect of Climate on the Bacteriology of Chronic Suppurative Otitis Media,” The Annals of Otology, Rhinology, and Laryngology, Vol. 114, No. 8, 2005, pp. 652-655.
[16] A. H. Loy, A. L. Tan and P. K. Lu, “Microbiology of Chronic Suppurative Otitis Media in Singapore,” Singapore Medical Journal, Vol. 43, No. 6, 2002, pp. 296-299
[17] R. S. Greval and S. Ram, “Bacteriological Patterns of Chronic Suppurative Otitis Media in Ludhiana,” Indian Journal of Medical Sciences, Vol. 50, No. 6, 1996, pp. 192-195.

  
comments powered by Disqus

Copyright © 2019 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.