Mycological profile of chronic suppurative otitis media in a tertiary care hospital
Journal Title: Medpulse International Journal of Microbiology - Year 2019, Vol 10, Issue 3
Abstract
Background: CSOM is a chronic inflammation of middle ear and mastoid cavity with recurrent ear discharge lasting for more than 6 months. Otomycosis is increasing in recent years because of the indiscriminate use of broad spectrum antibiotics, corticosteroids and an increase in the number of immune deficiency disorders, swimming, use of oils and ear drops. Aims and objectives: The study aimed to find out the fungal agents responsible for causing CSOM among the patients who attended Out Patient Department of ENT in collaboration with Department of Microbiology, Dr. P.D.M.M. College and Hospital, Amravati. Material and Methods: A Total of 130 patients who were clinically diagnosed with CSOM of all age groups and both sexes were selected for study from April 2018 to March 2019. Ear discharge was collected under aseptic precautions using sterile cotton swabs and direct microscopic examination and fungal culture was done. Slide culture done for differentiation of morphology of different species. Results: A total of 130 patients, Fungus isolated from 75 cases. Of which 49 were males and 26 were females. Main fungal isolates were Aspergillus species 51 (68 %), followed by Candida albicans 18 (24 %), Non albicans Candida 4 (5. 33 %), Penicillium 2 (2.66 %). Conclusion: CSOM with Otomycosis produce serious complications and treatment failure. Hence in cases of persistent otorrhoea, aural fullness, otalgia or any symptoms which signifies chronic middle ear infection, then fungal infection should be suspected. If the discharging ear is not responding with antibiotics aural toilet and fungal culture and sensitivity should be done in refractory cases before starting antibiotic therapy.
Authors and Affiliations
Ganesh M Kale, Pallavi S Tatte, Mayuri P Bhise, Pramod R Bhise
Keywords
Related Articles
- EP ID EP616979
- DOI 10.26611/10081031
- Views 99
- Downloads 0
Prevalence of subcutaneous mycosis in a tertiary care centre
Background: The incidence of subcutaneous mycosis and associated fungal species varies in different geographic region. It seems to be increasing in some tropical region.Objective:1. To determine the prevalence of infecti...
Prevalence of chlamydia trachomatis and its association with other STIs
Background: Chlamydia trachomatis is the most common bacterial sexually transmitted infections worldwide. Studies from India have reported varying prevalence rate of C. trachomatis. They also increase susceptibility of H...
Study of seroprevalence of syphilis from the patients attending tertiary care centre Saurastra region, Gujarat, India
Objectives: Main objective of our study is to be detect cases of syphilis from patients attending tertiary care teaching hospital, Saurastra region, Gujarat, India by Standard test for syphilis named Rapid Plasma Reagin...
Sociodemography and seroprevalence of hepatitis B, hepatitis C and Herpes Simplex virus infections among RTI/STI clinic attendees from a tertiary care hospital in Mumbai
Sexually Transmitted Infections are the most common infectious diseases worldwide and they present a huge burden of disease and adversely impact reproductive health of people. Worldwide over 340 million new cases occurre...
Prevalence of infection by Acinetobacter species and their antibiogram at a tertiary care hospital
Background: Acinetobacter species have emerged as an important nosocomial pathogen involved in outbreaks of hospital infections. Acinetobacter species tend to be resistant to a variety of antibiotics and thus the infecti...