Identification of common bacterial etiologic agents, antimicrobial susceptibility pattern & associated risk factors of Otitis media among pediatric patients of ENT Center of Orotta National Referral Hospital

Q3 Medicine

Ethiopian Medical Journal Pub Date : 2024-04-15 DOI:10.4314/emj.v62i2.2

Khawaja Shakeel Ahmed, Matiwos Araya, Yordanos Kessete, Armana G/Her, Dawit Kessete, Eden A/ Mariam, Fyori Mhretab, Miriam Mogos, Zebib G/Micael

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引用次数: 0

Abstract

Background: Otitis media is a pervasive childhood problem posing great healthcare challenges in developing countries. The magnitude of the problem and the lack of appropriate data about the prevalence, common etiologic agents, and the risk factors responsible for otitis media among children in Eritrea have encouraged us to undertake the present study.Methods: A total of 366 ear discharge samples were collected by an Otorhinolaryngologist. All collected samples were screened by using appropriate media and conditions that favor the growth of bacteria. Antibiotic susceptibility testing was done to record the sensitivity and resistance of bacteria by the disc diffusion method. Sociodemographic and clinical data were collected using standard and structured questionnaires and the data was analyzed using SPSS version 20 software.Results: Of 400, 366 (91.5%) samples were with Otitis media and 305 showed the presence of bacteria (83.33%). The most common pathogenic bacteria was Staphylococcus aureus followed by Hemophilus influenza and Pseudomonas aeruginosa. The results showed that the infection is more common in lower-aged children, daycare attendees, and big families. All are statistically significant (P-value 0.003), (P-value 0.036) (p<0.000), respectively. H.influenza, P.aeruginosa, and S.aureus showed good sensitivity towards ciprofloxacin, which was 85.5%, 100%, and 68.1% respectively.Conclusion: Of 400, 366 (91.5%) samples were with Otitis media and 305 showed the presence of bacteria (83.33%). The most common pathogenic bacteria was Staphylococcus aureus followed by Hemophilus influenza and Pseudomonas aeruginosa. The results showed that the infection is more common in lower-aged children, daycare attendees, and big families. All are statistically significant (P-value 0.003), (P-value 0.036) (p<0.000), respectively. H.influenza, P.aeruginosa, and S.aureus showed good sensitivity towards ciprofloxacin, which was 85.5%, 100%, and 68.1% respectively.

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奥罗塔国家转诊医院耳鼻喉科中心儿科中耳炎患者常见细菌病原体、抗菌药敏感性模式及相关风险因素的鉴定

背景：中耳炎是一个普遍存在的儿童问题，给发展中国家的医疗保健带来了巨大挑战。由于这一问题的严重性，以及缺乏有关厄立特里亚儿童中耳炎发病率、常见病因和风险因素的适当数据，促使我们开展了本研究：方法：耳鼻喉科医生共收集了 366 份耳道分泌物样本。方法：耳鼻喉科医生共收集了 366 份耳道分泌物样本，并使用适当的培养基和有利于细菌生长的条件对所有收集到的样本进行了筛查。通过抗生素敏感性测试，以碟片扩散法记录细菌的敏感性和耐药性。采用标准的结构化问卷收集社会人口学和临床数据，并使用 SPSS 20 版软件对数据进行分析：在 400 份样本中，366 份（91.5%）患有中耳炎，305 份（83.33%）显示存在细菌。最常见的致病菌是金黄色葡萄球菌，其次是流感嗜血杆菌和绿脓杆菌。结果显示，感染在低龄儿童、日托人员和大家庭中更为常见。它们分别具有统计学意义（P 值为 0.003）、（P 值为 0.036）（P<0.000）。流感嗜血杆菌、铜绿假单胞菌和金黄色葡萄球菌对环丙沙星的敏感性较好，分别为 85.5%、100% 和 68.1%：在 400 份样本中，366 份（91.5%）为中耳炎样本，305 份（83.33%）显示存在细菌。最常见的致病菌是金黄色葡萄球菌，其次是流感嗜血杆菌和绿脓杆菌。结果显示，感染在低龄儿童、日托人员和大家庭中更为常见。它们分别具有统计学意义（P 值为 0.003）、（P 值为 0.036）（P<0.000）。流感嗜血杆菌、铜绿假单胞菌和金黄色葡萄球菌对环丙沙星的敏感性分别为 85.5%、100% 和 68.1%。

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来源期刊

Ethiopian Medical Journal Medicine-Medicine (all)

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： The Ethiopian Medical Journal (EMJ) is the official Journal of the Ethiopian Medical Association (EMA) and devoted to the advancement and dissemination of knowledge pertaining to the broad field of medicine in Ethiopia and other developing countries. Prospective contributors to the Journal should take note of the instructions of Manuscript preparation and submission to EMJ as outlined below.