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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 16, Issue 1, Aug 2015 pp 104-108
Research Article
Bacterial and fungal study in chronic suppurative otitis media from a developing country
Wagh Kailash B1, Ghule Shubhangi B2, Pawar S K3, Mohite S T4
{1Assistant Professor, Department of Microbiology} {2Associates Professor, Department of Anatomy}
Dr.Ulhas Patil Medical College, Jalgaon (Khurd), Maharashtra, INDIA.
3Associates Professor, 4Principal and Professor, Department of Microbiology, Krishna Institute of Medical Sciences Deemed University, Karad, Maharashtra, INDIA.
Abstract
Introduction: Chronic suppurative otitis media (CSOM) associated with fungal infection has been associated with much morbidity including economic burden. Considering the differences in the etiological agents and their susceptibility pattern, it becomes necessary to have up-to-date information on microbial resistance to guide the rational use of the existing antimicrobials. Hence, the present study has been envisaged to evaluate the spectrum of micro-organisms causing chronic suppurative otitis media and their antimicrobial susceptibility pattern in a tertiary care hospital. Materials and Methods: The present study was a cross-sectional study. Patients who have been diagnosed to have chronic suppurative otitis media by clinical symptoms and signs were enrolled in the study with ethical view. Demographic details (age, sex), history associated with risk factors (unhygienic mopping, past history of antibiotic use/ear infections/surgery in the ear or head) were collected from each study participant. Three cotton swabs were used to collect the discharge and were subjected to Gram stain; aerobic culture and direct examination (KOH Preparation) for fungal elements and fungal culture were done. Results: There were total 176 patients included in study. A total of 70 (37.04%) consecutive CSOM patients were identified of which, majorly were males than females. Majority had unilateral involvement and most of them were between age of 21-40 years old. Most of patients had history of discharge for the duration of 3 months to 6 months. Majority of the study participants had mucopurulent discharge, history of instillation of topical antibiotics and reported of having unhygienic mopping of ear discharge. Pseudomonas aeruginosa was the most predominant organisms isolated followed by Staphylococcus aureus, Klebsiella pneumonie and Escherichia coli. Most of the isolated organisms (68.4%)] were sensitive to Gentamicin, Amikacin, Augmentin and Ceftriaxone. Conclusion: We found that majority of the patients of CSOM had clinical presentation similar to other parts of the world. Even the growth and sensitivity of the isolated micro-organisms were similar to previous studies.
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