Bacteriological profile and drug sensitivity patterns in chronic suppurative otitis media patients at J. L. N. Hospital & Research Centre, Bhilai, Chhattisgarh State, India
Journal Title: IP Indian Journal of Anatomy and Surgery of Head, Neck and Brain - Year 2018, Vol 4, Issue 2
Abstract
ObjectiveTo isolate and identify various bacterial pathogens in positive ear swab cultures of CSOM cases and to determine the antibiotic sensitivity pattern of different bacterial species identifiedStudy designProspective studySetting J L N Hospital Research Centre Bhilai CGMaterials and MethodThe study was done on the population of Bhilai and surrounding region A sample size of 120 cases attending the ENT OPD with the diagnosis of Chronic Suppurative Otitis Media and active ear discharge were included in the study Detailed history general physical examination local systemic examination was done along with aural swab for Grams staining and aerobic bacterial culture and drug sensitivity The data were then compared with the relevant available literatureResultsMost of the patients were in the age group of 1120 years 3833 followed by 2130 years age group 3167 More males 60 were affected by the disease than females 40 Unilateral 5916 infection was more common than bilateral 4083 Incidence of monobacterial 90 etiology was more common than polymicrobial 91 Staphylococcus aureus 67 5153 was the most commonly isolated bacteria followed by the Pseudomonas 26 20 Antibiogram showed the most effective drugs in the present study are clindamycin cotrimoxazole ciprofloxacin amikacin chloramphenicol and ceftazidimeConclusionStaphylococcus aureus is the most common pathogen isolated followed by Pseudomonas Clindamycin was the most effective antibiotic followed by cotrimoxazole ciprofloxacin amikacin chloramphenicol and ceftazidime Antibiotic sensitivity of the organisms varies according to geographical area and local practice regarding the choice of antibiotics A continuous and periodic evaluation of microbiological pattern and their antibiotic sensitivity pattern in local area is helpful in prescribing empirical antibiotics for successful treatment of otitis media and thus minimizing its complications and emergence of resistant strainsKeywords Chronic Suppurative Otitis Media CSOM antibiotic Antibiogram Staphylococcus aureus
Authors and Affiliations
Sonam Rathi, Ashwin A. Jaiswal, Neeta Sharma, P. K. Banerjee, A. K. Garg
Keywords
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- EP ID EP489795
- DOI 10.18231/2581-5229.2018.0009
- Views 78
- Downloads 0
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