A Study of Bacteriology in Chronic Suppurative Otitis Media with Cholesteatoma Cases
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 1
Abstract
Introduction: Chronic suppurative otitis media with cholesteatoma is typically a persistent disease. Insidious in onset, often capable of causing severe destruction and irreversible sequela and clinically it manifests with aural discharge and deafness. Current study aimed to see the microbial flora and sensitivity pattern of growth from culture of aural swab of patient diagnosed as case of chronic suppurative otitis media with cholesteatoma posted for mastoid surgery. Material and Methods: 80 cases admitted as chronic suppurative otitis media of attico-antral type for mastoid surgery were included in the study. Each patient had essential work up which included detailed history, clinical examination, investigations, Otoscopic examination and examination under microscope of the ear and culture/sensitivity of the discharge. Results: The present study consists of 80 patients who underwent mastoid surgery for chronic suppurative otitis media with cholesteatoma. Most common bacteria isolated were staphylococcus aureus 17.5%, pseudomonas aeruginosa 27.5%. Mixed growths were isolated from 13 cases (16.25%) of aural swab culture and 8 cases (10%) of cholesteatoma matrix culture. Conclusion: The antibiotic sensitivity study shows emerging resistant strain for the commonly used antibiotics including gentamycin which formed the drug of choice of earlier studies. It is probably due to the indiscriminate use of antibiotics.
Authors and Affiliations
K. Arumugam
Keywords
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