BACTERIOLOGICAL PROFILE AND THEIR ANTIBIOTIC SUSCEPTIBILITY PATTERN OF CASES OF CHRONIC SUPPURATIVE OTITIS MEDIA
Chronic Suppurative Otitis Media (CSOM) is one of the common hearing problems which can cause many complications if not treated properly. Hence, the aim of the study is to identify the bacterial isolates causing CSOM and to study their antimicrobial susceptibility pattern. The study was carried out in a tertiary care hospital in Chennai from August 2012 to January 2013 for a period of six months.Â Eighty patients of CSOM with unilateral or bilateral discharge attending the ENT Out Patient Department were included in the study. Swabs were taken and sent immediately to the microbiology laboratory and processed. Bacterial isolates were identified using standard methods and antibiotic susceptibility testing was done. Staphylococcus aureus was the most predominant organism isolated followed by Pseudomonas sp., Escherichia coli, Klebsiella sp.. The present study helped in knowing the bacteriological profile of the cases of CSOM. Empirical treatment may not be successful in all cases because of emergence of resistant organisms. Hence it is advisable to do antibiogram before starting treatment.
Keywords : Chronic Suppurative Otitis Media, bacterial isolates, antibiotic susceptibility
. Fliss DM, Shoham I, Leiberman A, Dagan R. Chronic suppurative otitis media without cholesteatoma in children in southern Israel: incidence and risk factors. Paediatric infection disease journal.1991; 10: 895-9.
. Anifasi WB, Tumushime - Buturo CG. Bacteriology and drug sensitivity of chronic suppurative otitis media in central hospital in Zimbabwe. Cent Afr J Med 1989;35:481-3.
. Fairbanks D. Pocket Guide to antimicrobial therapy in Otolaryngology - Head and Neck surgery. In: Alexendria VA, editor. 8 th ed. The American Academy of Otolaryngology -Head and Neck surgery Foundation. 1996. p. 1-91.
. Shyamala R, Reddy PS. The study of becteriologigal agents of chronic suppurative otitis media: Aerobic culture and evaluation. J Microbiol biotech Res 2012;2:152-62.
. Gulati J, Tandon PL, Singh W, Bais AS. Study of bacterial flora in chronic suppurative otitis media. Indian J Otolaryngol Head Neck Surg 1969;2:198-202.
. Loy AH, Tan AL, Lu PK. Microbiology of chronic suppurative otitis media in Singapore. Singapore Med J 2002;43:296-9.
. Ahmed A, Usman J, Hashim R. Isolates from chronic suppurative otitis media and their antimicrobical sensitivity. Pak Armed Forces Med J 1999;49:82-5.
. Agrawal A, Kumar D, Goyal A, Goyal S, Singh N, Khandelwal G. Microbiological profile and their antimicrobial sensitivity pattern in patients of otitis media with ear discharge. Indian J Otol 2013;19:5-8)
. Vijaya D, Nagarathnamma T. Microbiological study of chronic suppurative otitis
media. Indian J Otol 1998;4:172-4.
.Fatma AA, Assiry S, Siraj MZ. Microbiological evaluation and aspects on management of chronic suppurative otitis media in Riyadh. Indian J Otol 1998;4:115-20.
. Chakraborty A, Bhattacharjee A, Purkaystha P. Microbiological profile of chronic
suppurative otitis media: Its significance in North-East India. Indian J Otol 2005;11:39-44.
 Rao MV, Jayakar PA. Bacteriological study of CSOM. J Indian Med Assoc
 Rao BN, Reddy MS. Chronic suppurative otitis media - A prospective study. Indian J Otolaryngol Head Neck Surg 1994;3:72-7.
 Taneja M, Taneja MK. CSOM a bacteriological study. Indian J Otol 2009;15:3-7.
 Kuchhal V. Antibiotic sensitivity pattern in chronic suppurative otitis media in kumoun region. Indian J Otol 2010;16:17-21.
 Shyamla R, Reddy SP. The study of bacteriological agents of chronic suppurative otitis media-aerobic culture and evaluation. J Microbiol Biotechnol Res 2012;2:152-62.
 Indudharan R, Haq JA, Aiyar S. Antibiotics in chronic suppurative otitis media: a bacteriologic study. Ann Otol Rhinol Laryngol 1999;108:440-5.
 Kumar S, Sharma R, Saxena A, Pandey A, Gautam P, Taneja V.Bacterial flora of infected unsafe CSOM. Indian J Otol 2012;18:208-11
 Goyal R, Aher A, De S, Kumar A. Chronic suppurative otitis media - A Clinico-Microbiological study. Indian J Otol 2009;15:18-22.
 Malkappa SK. Study of aerobic bacterial isolates and their antibiotic susceptibility pattern in chronic suppurative otitis media. Indian J Otol 2012;18:136-9
 Sharma S, Rehan HS, Goyal A, Jha AK, Upadhayaya S, Mishra SC. Bacteriological Profile in Chronic suppurative otitis media in Eastern Nepal; Trop Doct. 2004;34:102-4
 Aslam MA, Ahmed Z, Azim R. Microbiology and drug sensitivity patterns of chronic suppurative otitis media. J Coll Physicians Surg Pak.2004;14:459â€“61.
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