BACTERIOLOGICAL FLORA IN SAFE AND UNSAFE TYPES OF CHRONIC SUPPURATIVE OTITIS MEDIA.
Journal Title: IJSR-International Journal Of Scientific Research - Year 2017, Vol 6, Issue 3
Abstract
Chronic Suppurative Otitis media is a chronic inflammation of themiddle ear cleft characterized by ear discharge from a permanentperforation in the tympanic membrane. It has been classified intotwo types tubo-tympanic and attico-antral type depending uponwhether the pars tensa is involved ( former) or parsflaccida isinvolved (later). e perforations of pars tensa are again of two types– 1. Central and 2. Marginal. e Central tubo-tympanic perforations are considered as safe as they are usually not encountered with life threatening complications where as marginal perforations of pars tensa and attic perforations are considered as dangerous as they are often associated with life threatening complications. e disease is more common in developing countries especially among low socio-economic society because of malnutrition, overcrowding, poor hygiene, inadequate health care, and recurrent upper respiratory tract infection. e urban to rural ratio of the disease is 1:2 and the poorer rural communities have highest prevalence (1) With the advent of newer antibiotics the complication rates in Chronic Suppurative Otitis media (CSOM) has drastically come down but has lead to another problem due to indiscriminate use of antibiotics – that of multi-drug resistant bacterial strains and disease complications in return. Changes in bacterial flora in CSOM in the last decade have been confirmed and described by various authors. (2) Knowledge of the common causative organisms and their antibiotic sensitivity is helpful in deciding the drug of choice in peri operative management of both safe and unsafe types of CSOM.
Authors and Affiliations
Dr SUMIT SHARMA, Dr. KHALID ASHRAF
Keywords
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