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IP Indian Journal of Anatomy and Surgery of Head, Neck and Brain


Bacteriological study and antibiotic resistance profile in patients with ear discharge visiting ENT OPD


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Author Details: Kailas Patel, Alpesh Fefar, Paresh Khavu, Sejal. N. Mistry, Manish Mehta

Volume : 3

Issue : 4

Online ISSN : 2581-5229

Print ISSN : 2581-5210

Article First Page : 89

Article End Page : 92


Abstract

Background: Chronic suppurative otitis media is persistent inflammation of the middle ear or mastoid cavity. Synonyms include "chronic otitis media (without effusion)", chronic mastoiditis, and chronic tympanomastoiditis. Chronic suppurative otitis media is characterised by recurrent or persistent ear discharge (otorrhoea) over 2-6 weeks through a perforation of the tympanic membrane. Typical findings may also include thickened granular middle ear mucosa, mucosal polyps, and cholesteatoma within the middle ear. Variety of organisms founds in patients suffering from chronic otitis media like, Pseudomonas, Staphylococcus aureus, Proteus mirabilis, Klebsiella pneumonia and Escherichia coli found. The pattern of organisms varies in different geographical areas.
Objectives: (1) To isolate bacteria from patients with ear discharge (2) To find out antibiotic resistance of isolated organisms.
Materials and Methods: This is an observational cross sectional study done in the OPD department of otorhinolaryngology, at P.D.U medical college and hospital, Rajkot, for a period of six months from May 2017 to October 2017. A total number 200 patients of both gender between 5 to 74 years who visited the OPD department of otorhinolaryngology with chronic ear discharge taken for study.
Results: Out of 200 patients of 5-74 years with chronic suppurative otitis media were examined and out of this Hundred and twenty eight (64%) of the patients were males. Ciprofloxacin, Amoxicillin- clavunic acid, Levofloxacin, Cefadroxyl, Cefixime shows resistance to it.
Conclusion: Chronic otitis media is more prevalent in males than females. Commonest organisms found were Pseudomonas aeruginosa followed by staphylococcus aureus. Commonly prescribed drugs Ciprofloxacin, Amoxicillin- clavunic acid, Levofloxacin, Cefadroxyl, Cefixime shows resistance to most of the organisms.

Keywords: Chronic Suppurative Otitis media, Ear discharge, Resistance