BACTERIOLOGICAL PROFILE OF CHRONIC SUPPURATIVE OTITIS MEDIA IN A TERTIARY CARE CENTRE IN SOUTH INDIA
Journal Title: Journal of Biomedical and Pharmaceutical Research - Year 2014, Vol 3, Issue 2
Abstract
Background: Chronic suppurative otitis media (CSOM) is a disease of multiple aetiologies and is well known for its persistence despite treatment and may result in permanently disabling and potentially fatal complications. The frequent presence of CSOM in general practice and poor response to the routine treatment made us undertake this study. Aim: To identify the bacteria causing CSOM and their antibiotic susceptibility pattern. Methods: A cross sectional study involving 200 patients with chronic ear discharge was undertaken. Ear swabs were taken and cultured for bacteria. Biochemical tests were done for identification of the isolate and antibiotic susceptibility testing was done by Kirby-Bauer’s disc diffusion method. Results: Pseudomonas aeruginosa (36%) was the most common isolate followed by Staphylococcus aureus (21%). Meropenem, Piperacillin/Tazobactum and Ceftriaxone/Sulbactum were most effective drugs for P.aeruginosa whereas Vancomycin and Linezolid were most efficient for S.aureus Conclusions: Periodical evaluation of bacteriological profile and their susceptibility pattern helps in choosing presumptive drugs for successful treatment and minimizing complications of CSOM and emergence of resistant strains.
Authors and Affiliations
Sudhindra. K. S*| Associate Professor, Department of Microbiology, Basaveshwara Medical College & Hospital, Chitradurga. Karnataka, India, V. N. Venkatesh| Professor and Head, Department of Microbiology, Basaveshwara Medical College, Chitradurga, India, Nirmala Grace. B| Assistant Professor, Department of Microbiology, Guntur Medical College Guntur, India, Ravish Kumar. M| Assistant Professor in Microbiology, Basaveshwara Medical College & Hospital, Chitradurga, India, Shwetha. D. C| Assistant Professor in Microbiology, Basaveshwara Medical College & Hospital, Chitradurga, India
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