IMPORTANCE OF CULTURE AND SENSITIVITY FOR BETTER HEALING OF A MASTOID CAVITY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 30
Abstract
BACKGROUND Determination of the type of microorganisms, which grow in the middle ear can help determine the appropriate antibiotic to be administered orally as well as topically. In an era of growing antibiotic sensitivity, it becomes prudent to be judicious with prescribing antibiotics. This can be easily done with the help of an ear swab. This has a positive effect in faster healing of wide mastoid cavity and can prevent the problems of a discharging cavity post-operatively. MATERIALS AND METHODS A randomised controlled trial study was conducted in the Department of ENT at Rajiv Gandhi Medical College, Kalwa from July 2017 to December 2017 on 50 patients. The patients were selected by simple random sampling method. An ear swab is first taken prior to posting the patient for a tympanomastoid surgery and following the surgery a swab is retaken on the 7th post-operative day and antibiotics may be changed based on the reports obtained. RESULTS During post-operative 3rd week visit of all 50 patients, it was observed that out of the 25 patients treated on the basis of pus culture and sensitivity reports. 23 patients (92%) responded well with clean mastoid cavity and improved healing to the point of epithelialisation, whereas out of the remaining 25 patients treated empirically only 9 patients (36%) responded well with clean mastoid cavity and improved healing and the rest followed up with either discharging cavities or granulation tissue. CONCLUSION Use of ear swab and its role in selection of antibiotics has a positive effect in faster healing of wide mastoid cavity and can prevent the problems of a discharging cavity post-operatively.
Authors and Affiliations
Shweta Baviskar, Laveena Mehta, Tushar Gori, Vrushali Vishal Kulkarni, Milind Ubale, Poorva Sule
Keywords
Related Articles
- EP ID EP538840
- DOI 10.14260/jemds/2018/765
- Views 73
- Downloads 0
DETECTION OF UNDERNUTRITION AMONG PRESCHOOL CHILDREN
[b] BACKGROUND[/b]: Undernutrition among Indian preschool children is very much prevalent and is the predisposing factor for various types of morbidity and mortality. [b]OBJECTIVES:[/b] To detect prevalence of u...
RELATIONSHIP BETWEEN CLINICAL EDUCATION BEHAVIOURS OF INSTRUCTORS AND LEARNING PERCEPTIONS IN NURSING STUDENTS
BACKGROUND Despite the importance of characteristics of an effective clinical instructor, there are many deficiencies in the performance of instructors. The present study was conducted with an aim to investigate the rela...
SEROPREVALENCE OF DENGUE IN BIHAR: A HOSPITAL BASED STUDY
Dengue/ Dengue Hemorrhagic Fever (DHF) is an emergent disease in India. It is endemic in some parts of country and contributes annual outbreaks of dengue.[1] It is a vector borne disease transmitted mainly by A...
EPIDEMIOLOGICAL AND CLINICAL PROFILE OF BREAST CANCER PATIENTS AT KR HOSPITAL, MYSORE
BACKGROUND Cancer rates are set to increase at an alarming rate globally to 15 million new cases in the year 2020. Worldwide breast cancer is the most frequent cancer in women and represents the second leading cause of c...
STUDY OF PREVALENCE AND RISK FACTORS OF PERIPHERAL DIABETIC NEUROPATHY IN A TERTIARY HOSPITAL
The prevalence of neuropathy in the diabetic population has been estimated ranging from 10% to 90%. Generally, the incidence of neuropathy seems to increase with duration of disease. This study was undertaken to...