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Microbial Profile and Antibiograms of Active Patients of Chronic Suppurative Otitis Media in Latur, Maharashtra, India

Author Affiliations

  • 1 State Reference Laboratory, Department of Microbiology, Government Medical College, Latur, MS, INDIA

Int. Res. J. Medical Sci., Volume 2, Issue (5), Pages 6-9, May,28 (2014)

Abstract

Otitis media (OM) is a major health problem in both developed and developing countries. This study taken to determine the pattern of bacterial isolates in Patients with chronic suppurative otitis media (CSOM) in Latur District, Maharashtra (India). A prospective study carried out in dept. of Microbiology, Govt. Medical College, latur among consenting patients with CSOM attending the ENT department over a period of 10 months. Informed consent was obtained from the patients for this study and microbiological analysis done. A total of 168 patients aged 5-70 years with chronic suppurative otitis media were accounted and total 201 bacteria isolated from ear discharge of 168 paients. In the present study, gram-negative bacteria were the dominant isolates (59.7%) while gram positive bacteria were 81(40.3%) The most Common causal organisms isolated were Pseudomonas aeruginosa 57 (28.35) followed by Staphylococcus aureus 49 (24.37%), Coagulase negative Staphylococcus 26(12.93 %), Klebsiella spp. 23(11.44 %).this study indicates the antibiogram trends of the most predominant bacterial isolates in otitis media. Pseudomonas aeruginosa and S. aureus showed high resistant rate (73.6- 89.4%) to, tetracycline, Erythromycin and amoxicillin.while P.aeruginosa demonstrated 96.5 % sensitivity to norfloxacin and low level of resistance to gentamicin and ciprofloxacin.

References

  1. El-Gendy G.D., The incidence of otitis media with effusion in Menoufiya school children, MD Thesis, Faculty of Medicine, Menoufiya University(1998)
  2. St Sauver J., Marrs C.F., Foxman B., Somsel P., Madera R. and Gilsdorf J.R., Risk factors for otitis media and carriage of multiple strains of Haemophilus influenzae and streptococcus pneumonia, Emerg Infect Dis., 6(6), 622–30 (2000)
  3. Berman S., Classification and criteria of otitis media, Clin Microbiol Infect, , 1-4 (1997)
  4. Woodfield G. and Dugdale A., Evidence behind the WHO guidelines: hospital care for children: What is the most effective antibiotic regime for chronic suppurative otitis media in children, J Trop Pediatr, 54(3), 151-156 (2008)
  5. Bluestone C.D. and Klein J.O., Microbiology, In: Bluestone CD, Klein JO, Otitis Media in Infants and Children. 3rd ed. Philadelphia, P A W B. Saunders, 79, 1014 (2001)
  6. Healy G.B., Rosbe K.W., Otitis media and middle ear effusion, in: snow, Ballenger JJ, editors. Ballenger's otorhinolaryngology head neck surgery, BC Decker inc, 16, 249-60 (2003)
  7. AHC Loy, AL Tan, PKS Lu, Microbiology of chronic supurative otitis media in Singapore, Singapore Med J, 43(6), 296-299 (2002)
  8. Sweeney G., Piccozi G.L. and Browning G.G., A quantitative study of aerobic and anaerobic bacteria in chronic suppurative otitis media, Journal of infection,, 47-55 (1982)
  9. Ihsan E. Alsaimary, Ahmed M. Alabbasi, Jassim M. Najim, Antibiotics susceptibility of bacterial pathogens associated with otitis media, J Bacteriol Res, 2(4), 41-50 (2010)
  10. Aslam M.A., Ahmed Z. and Azim R., Microbiology and drug sensitivity patterns of chronic suppurative otitis media,J Coll Physicians Surg Pak, 14, 459-61 (2004)
  11. Yildirim A., Erdem H., Kilic S., Yetiser S. and Pahsa A., Effect of climate on the bacteriology of chronic suppurative otitis media, Ann Otol Rhinol Laryngol, 114, 652-655(2005)
  12. Ferede D., Geyid A. and Lulseged S et al., Drug susceptibility pattern of bacterial isolates from children with chronic suppurative otitis media, Ethiop J Health Dev, 15(2), 89-96 (2001)
  13. Tesfaye G., Asrat D., Woldeamanuel Y. and Gizaw M.,Microbiology of discharging ears in Ethiopia, Asian Pac J Trop Med,2(1), 60-67 (2009)
  14. Iseh K.R. and Adegbite T., Pattern and bacteriology of acute suppurative otitis media in Sokoto, Nigeria, Ann Afri Med, 3(4), 164-166 (2004)
  15. Melaku A. and Lulseged S., Chronic suppurative otitis media in children hospital in Addis Ababa, Ethiopia, Ethiop Med J., 37(4), 237-246 (1999)
  16. Abera B. and Biadglegne F., Antimicrobial resistance patterns of Staphylococcus aureus and Proteus spp. From otitis media at Bahir Dar Regional Laboratory, North West Ethiopia,Ethiop Med J, 47(4), 171-176 (2009)
  17. Yismaw G., Abay S., Asrat D., Yifru S. and Kassu A., Bacteriological profile and resistance patterns of clinical isolates from pediatric patients, Gondar University teaching hospital, Gondar, Ethiopia, Ethiop Med J, 48(4), 293-299 ( 2010)
  18. Weckwerth P.H., de Magalhães Lopes C.A., Duarte M.A., Weckwerth A.C., Martins C.H., Neto D.L., de Aguiar HF, Chronic suppurative otitis media in cleft palate: microorganism etiology and susceptibilities, Cleft Palate Craniofac J, 46(5), 461-467 (2009)
  19. Mohoney J.L., Oakland C.A., Management of otitis media in Zaire, The Laryngoscope, 90, 1200-8(1980)
  20. Saini S., Gupta N., Aparna S. and Sachdeva O.P., Bacteriological study of paediatric and adult chronic suppurative otitis media, Indian J Pathol Microbiol, 48(3), 413-416 (2005)
  21. Gerhard G., Challenges in reducing the burden of otitis media disease: An ENT perspective on improving management and prospects for prevention, Int J Pediatr Otorhinolaryngol, 74(6), 572-577 (2010)
  22. Bergus G.R., Levy B.T., Levy S.M., Slager S.L., Kiritsy M.C., Antibiotic use during the first 200 days of life, Arch Fam Med, , 523–6 (1996)