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Microbiology and Drug Sensitivity Pattern for Patients with Chronic Otitis Media in Aldiwanyia Teaching Hospital
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| Author:
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BASSAM ABDULAMEER MOHSEN, ALI ABDULAMEER JWAD
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| Abstract:
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Background: Otitis media (OM) refers to a group of complex infectious and inflammatory diseases affecting the middle ear. OM in general is very common, as studies show that around 80?% of children should have experienced at least one episode by their third birthday. OM has been broadly classified into two main types, acute and chronic. Acute OM (AOM) is characterized by the rapid onset of signs of inflammation, specifically bulging and possible perforation of the tympanic membrane, fullness and erythema, as well as symptoms associated with inflammation such as otalgia, irritability and fever.
Aim of the study: The aim of this study is to find out the microbiological profile (bacteria and/or fungi) and their antibiotic sensitivity patterns in patients with chronic otitis media who were attended the ear, nose and throat (ENT) Department in Al-Diwaniyah Teaching Hospital.
Patients and Method: The sample of patients was collected from the pool of patients attending the Outpatient Department of ear, nose and throat (ENT) in Al-Diwaniyah Teaching Hospital, complaining of signs and symptoms suggestive of chronic otitis media. this study was started from 1st of January to 30th of June 2020 year in six months duration. The lab work was accomplished at the central laboratory of Al-Diwaniyah Teaching Hospital. The patients who had chronic pus discharging ears for at least 3 months from all age groups and who were not on antibiotics treatment (systemic or local) for at least 5 preceding days, were included in this study.
Results: The study included a total of 89 patients with chronic otitis media. Out of all cases 46 patients were females in a percentage of 51.68 % and 43 patients were males in a percentage of 48.31%. Culture examination showed that 86 patients (96.6 %) had positive single aerobic bacterial growth, two patients had negative culture (2.2 %) and a single patient had fungal growth in the form of Candida Albicans, as shown in figure 4.3. The 86 patients with positive bacterial growth were categorized into 30 (34.9 %) and 56 (65.1 %) as having gram positive and gram negative bacteria, respectively. Regarding gram positive bacteria, 22 patients had staphylococcus aureus and 8 patients had streptococcus species. Among 56 patients who had gram negative bacterial growth ,24 patients(42.85%) had Pseudomonas aerugenosa,18 patients(32.14%) had Proteus species , 9 patients (16.07%) had Escherichia coli (E. coli),5 patients(8.92%), had Klebsiella species
Conclusion: By knowing of the microbiological and drug sensitivity pattern of chronic otitis media we can achieve some objectives and aims as follows: We can get efficient treatment for the patients with complete eradication of infection and reduce the suffering of the patients from chronic discharging ears. Prevention of the complications of chronic otitis media and reduce the morbidity and mortality of the infection.
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| Keyword:
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OM, ENT
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2020.12.04.393
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| Download:
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