Microbial profile with their antimicrobial susceptibility pattern in ear discharge of CSOM patients at a tertiary care hospital in Northern Rajasthan
Journal Title: International Journal of Medical and Health Research - Year 2018, Vol 4, Issue 8
Abstract
Background: Chronic suppurative otitis media (CSOM) is a persistent middle ear disease with high risk of irreversible complications in absence of timely management. It is a massive health problem with India having the highest prevalence rate (>4%) requiring urgent attention. Objective: To find out risk factors, microbiological profile, with their susceptibility pattern, of ear discharge in CSOM patients to provide guidelines for the emperical treatment. Material and Methods: Ear discharge samples from 130 clinically diagnosed CSOM patients were collected and processed. Microbial isolates were identified and drug susceptibility testing was conducted using Kirby –Bauer disc diffusion method. Results: Pseudomonas species (59/120,49.16%) was the predominant isolate followed by Staphylococcus species (37/120,30.83%) while Aspergillus species (10/12,83.33%) was the predominant fungus isolated. No anaerobic bacteria were isolated on culture. Gram negative bacilli were most susceptible to Meropenem (95.45%), Amikacin (91%) and Netilmycin (91%) while Pseudomonas species was to Imipenem (98.3%).Gram positive cocci showed 100% susceptibility to Vancomycin, Linezolid and Doxycycline. Conclusion: A continuous and periodic evaluation of microbiological pattern of CSOM and antimicrobial sensitivity of isolates is necessary for forming the basis of emperical treatment which shall aid in decreasing the potential risk of complications. Further, accurate and timely identification, knowledge of the pathogens and judicious use of antibiotics is the need of the hour.
Authors and Affiliations
Pallawi Goyal, Ramesh Kumar Mishra, Anita Singhal, Rakesh Kumar Maheshwari
Keywords
Related Articles
- EP ID EP587319
- DOI -
- Views 155
- Downloads 0
Utility of cranial ultrasonography in preterm and critically ill neonates
Neonatal care in India is advancing at an impressive phase at the level of the community as well as in tertiary care units. Concept of “survival” of newborn has given way to “intact survival” of the high risk newborn emp...
Ultrasound in predilection of threatened abortion in early pregnancy: A clinical study
Background: Threatened miscarriage constitutes 15–20% of pregnancies and is one of the commonest gynecological emergencies. This study was conducted to assess utility of ultrasound in detection of threatened abortion. Ma...
The study on clinical profile of patients with gallstones
Introduction:Cholelithiasis means the “presence of stone in the gall bladder” is a common clinical entity affecting the adult population of both sexes. Various sign and symptoms like severe pain in Murphy’s point in righ...
Description and classification of severity of Dengue fever using early clinical and laboratory Parameters in paediatric patients
Objective: Dengue infection, an arthropod – borne viral haemorrhagic fever, continues to be a major challenge to public health. Infection with dengue virus can cause a spectrum of illnesses. Early identification of patie...
Assessment of clinical and pathological trends in children suffering from Malaria
Plasmodium vivax malaria is increasingly being reported as cause of severe malaria and different manifestation of severe malaria as compared to P. falciparum malaria from several countries across the world. Drug resistan...