Bacterial and Fungal Study of 100 Cases of Chronic Suppurative Otitis Media 1224-1227
Harvinder Kumar. 11- Sat Nagar.
Sodal Road, Jalandhar City.
E mail: firstname.lastname@example.org
Introduction: Chronic Suppurative Otitis Media is a major health problem in developing countries because of poor nutrition, improper hygiene and lack of health education. Due to advent of newer and sophisticated antibiotics, the microbiological flora is changing constantly. This requires a reappraisal of the flora in Chronic Suppurative Otitis Media and their in vitro antibiotic sensitivity pattern. In cases of CSOM, which do not respond to local antibiotics, superimposed fungal infection should be suspected. The present study was aimed to identify Bacterial and Fungal isolates associated with Chronic Suppurative Otitis Media and their antibiogram pattern in patients attending ENT OPD at Maharaja Agrasen Medical College, Agroha, Hisar.
Materials and Methods: The study included 100 patients of Chronic Suppurative Otitis Media attending the ENT OPD at Maharaja Agrasen Medical College, Agroha, Hisar. The samples were immediately sent to the microbiology laboratory for fungal and bacterial studies. The standard method of isolation and identification was followed. Antimicrobial susceptibility of the bacterial isolates was performed by Kirby- Bauerâ€™s disc diffusion method.
Results: Analysis of bacterial flora of the present study showed predominance of gram negative bacilli (59.74%). The highest incidence (45.5%) was that of Pseudomonas aeuroginosa followed by Staphylococcus aureus (37.7%). Of the 15 fungal isolates, 9 (60%) were Candida species (Candida albicans). Aspergillus was isolated in 6(40%) with maximum 3 (20%) strains of Aspergillus fumigatus. Amikacin was found to be the most effective drug.
Conclusion: The study suggests that the common etiological agents for Chronic Suppurative Otitis Media were Pseudomonas aeruginosa followed by Staphylococcus aureus. Amikacin was found to be the drug of choice.