Published July 27, 2024 | Version https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue7,Article157.pdf
Journal article Open

Study of Bacteriology in ASOM

  • 1. Associate Professor, Department of ENT, RIMS, Raichur, Karnataka, India
  • 2. Associate Professor, Department of Microbiology, Ballari Medical College & Research Centre, Ballari, Karnataka, India
  • 3. Assistant Professor, Department of ENT, RIMS, Raichur, Karnataka, India

Description

Acute Suppurative Otitis Media (ASOM) is a primary reason for prescribing antibiotics in children. The near closeness of the middle ear to the brain, coupled with the growing resistance of pathogenic organisms associated with otitis media, renders this condition highly concerning in youngsters. The present study was done “to study the bacteriology of the disease in detail followed by Antibiotic Sensitivity patterns of the most common etiological organisms”. Material &Methods: The current prospective research was conducted at Ear, Nose & Throat Department of RIMS Hospital, Raichur from April 2017 to June 2017, among all the selected 50 patients of ear discharge. Clinical details of patients presenting with ear discharge of less than 3 weeks duration diagnosed as ASOM at first presentation were collected for age, gender, bacteriology, clinical presentation & management taken. Results were analyzed using SPSS version 25.0. Results: In the present study the maximum numbers of patients were in the age group of 0 to 5 years (10). Female patients (27) were more in number as compared to male (23). The symptom & signs of ASOM present in patients were otorrhea (48) & perforation of tympanic membrane (49). In 11 patients ASOM was present on one side while in 39 patients ASOM was present bilaterally. The most common micro-organism was Staphylococcus aureus (21) & least common was Streptococcus viridians (3). Conclusion: A systemic antibiotic that is effective against bacteria that produce beta-lactamase, along with anti-histamine treatment & local ear treatment, is recommended to achieve better results in stopping ear discharge & reducing the likelihood of developing a chronically discharging ear (CSOM) with its associated issues.

 

 

 

Abstract (English)

Acute Suppurative Otitis Media (ASOM) is a primary reason for prescribing antibiotics in children. The near closeness of the middle ear to the brain, coupled with the growing resistance of pathogenic organisms associated with otitis media, renders this condition highly concerning in youngsters. The present study was done “to study the bacteriology of the disease in detail followed by Antibiotic Sensitivity patterns of the most common etiological organisms”. Material &Methods: The current prospective research was conducted at Ear, Nose & Throat Department of RIMS Hospital, Raichur from April 2017 to June 2017, among all the selected 50 patients of ear discharge. Clinical details of patients presenting with ear discharge of less than 3 weeks duration diagnosed as ASOM at first presentation were collected for age, gender, bacteriology, clinical presentation & management taken. Results were analyzed using SPSS version 25.0. Results: In the present study the maximum numbers of patients were in the age group of 0 to 5 years (10). Female patients (27) were more in number as compared to male (23). The symptom & signs of ASOM present in patients were otorrhea (48) & perforation of tympanic membrane (49). In 11 patients ASOM was present on one side while in 39 patients ASOM was present bilaterally. The most common micro-organism was Staphylococcus aureus (21) & least common was Streptococcus viridians (3). Conclusion: A systemic antibiotic that is effective against bacteria that produce beta-lactamase, along with anti-histamine treatment & local ear treatment, is recommended to achieve better results in stopping ear discharge & reducing the likelihood of developing a chronically discharging ear (CSOM) with its associated issues.

 

 

 

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Dates

Accepted
2024-06-25

References

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