A study of bacteriological profile and susceptibility pattern in chronic suppurative otitis media at a tertiary care centre in Akola
Journal Title: Medpulse International Journal of ENT - Year 2018, Vol 6, Issue 2
Abstract
Background: CSOM is one of the most commonly occurring diseases in the otolaryngology. It is very infamous for its severe complications and recurrence. Moreover, due to advent of newer antibiotics and their unnecessary use there has been a development of resistance to some of them. Thus, this study was carried out to study the microbiological flora of CSOM and study the resistance and susceptibility of the bacteria isolated. Objective was to study to which antibiotics were the bacterial flora susceptible or resistant. Secondary objectives were; to study the distribution of CSOM in various age, socio economic, sex groups, etc. Aural discharges were collected as samples, from patients reporting to ENT O.P.D. of GMC Akola, who were diagnosed with CSOM and these swabs were studied in the microbiology department of the same Institute. Bacteria were cultured, isolated and tested for resistance and susceptibility against 22 antibiotics. The results were compared with other studies. Distribution of CSOM in various sections of the society was also studied depending on sex, residential area, socio economic status, etc. Staphylococcus aureus and Pseudomonas aeruginosa species were found commonly in the bacterial isolates. Most of the bacteria were susceptible to Amikacin followed by Tetracycline, Gentamicin and Ciprofloxacin and these drugs can be used in the empirical treatment for CSOM in Akola region. Resistance was mostly seen against Penicillin and Cotrimoxazole. High risk groups were people with low socio economic status, people living in rural areas. Male dominance in this study was observed but it is not significant as there is no evidence to prove any difference between the male and female ears. Cases of CSOM were most common in first 2 decades of life and thus it was important to educate the parents and guardians about the risk factors and complications of CSOM. Health education, spreading awareness about the complications and risk factors in the at risk groups and providing better medical facilities to reach even the remote rural areas will reduce the incidence of CSOM in the general population. Aim-The aim of this study is to identify the bacterial pathogens in chronic suppurative otitis media and study which antibiotics are effective against them at Govt. Medical College and Hospital Akola. Thus, chalk out a basic empirical treatment for otitis media in Akola region to reduce the haphazard use of antibiotics and also the time and expenses required for the treatment. Objectives: 1.To isolate and detect bacteria from CSOM cases. 2. To detect extended spectrum beta lactamase, metalo beta lactamase producing organisms from relevant clinical isolates. 3. To study antimicrobial susceptibility in all isolates of CSOM. Secondary objectives: 1. To study the susceptibility and sensitivity pattern of the isolated bacteria and thus study the development of resistance. 2. To study the distribution of the disease on the basis of Age, sex, socio economic status, etc. 3. To compare the organisms causing CSOM in various regions in India and the world with Akola region.
Authors and Affiliations
Sandeep B Dabhekar, Parag V Doifode
Keywords
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