Bacteriological profile and drug sensitivity patterns in chronic suppurative otitis media patients at J. L. N. Hospital & Research Centre, Bhilai, Chhattisgarh State, India

IF 0.6 Q3 Medicine

Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2020-12-15 DOI:10.18231/2581-5229.2018.0009

S. Rathi, A. Jaiswal, N. Sharma, P. Banerjee, A. K. Garg

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引用次数: 1

Abstract

Objective: To isolate and identify various bacterial pathogens in positive ear swab cultures of CSOM cases and to determine the antibiotic sensitivity pattern of different bacterial species identified. Study design: Prospective study Setting: J. L. N. Hospital & Research Centre, Bhilai (C.G). Materials and Method: The study was done on the population of Bhilai and surrounding region. A sample size of 120 cases attending the ENT OPD with the diagnosis of Chronic Suppurative Otitis Media and active ear discharge were included in the study. Detailed history, general physical examination, local systemic examination was done along with aural swab for Gram’s staining and aerobic bacterial culture and drug sensitivity . The data were then compared with the relevant & available literature. Results: Most of the patients were in the age group of 11-20 years (38.33%), followed by 21-30 years age group (31.67%). More males (60%) were affected by the disease than females (40%). Unilateral (59.16%) infection was more common than bilateral (40.83%). Incidence of monobacterial (90%) etiology was more common than polymicrobial (9.1%). Staphylococcus aureus 67 (51.53%) was the most commonly isolated bacteria followed by the Pseudomonas 26 (20%). Antibiogram showed the most effective drugs in the present study are clindamycin, cotrimoxazole, ciprofloxacin, amikacin, chloramphenicol and ceftazidime Conclusion: Staphylococcus aureus is the most common pathogen isolated, followed by Pseudomonas. Clindamycin was the most effective antibiotic followed by cotrimoxazole, ciprofloxacin, amikacin, chloramphenicol and ceftazidime. Antibiotic sensitivity of the organisms varies according to geographical area and local practice regarding the choice of antibiotics. A continuous and periodic evaluation of microbiological pattern and their antibiotic sensitivity pattern in local area is helpful in prescribing empirical antibiotics for successful treatment of otitis media and thus minimi

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印度恰蒂斯加尔邦比莱J. L. N.医院和研究中心慢性化脓性中耳炎患者的细菌学特征和药物敏感性模式

目的:分离鉴定CSOM阳性患者耳拭子培养的各种病原菌，并确定所鉴定的不同菌种对抗生素的敏感性。研究设计:前瞻性研究环境:比莱J. L. N.医院与研究中心。材料与方法:以比来及周边地区人口为研究对象。120例就诊于耳鼻喉科的诊断为慢性化脓性中耳炎和活动性耳漏的病例被纳入研究。详细病史，全身体格检查，局部全身检查，耳部拭子革兰氏染色，需氧细菌培养和药物敏感性。然后将数据与相关文献和现有文献进行比较。结果:患者以11 ~ 20岁年龄组居多(38.33%)，21 ~ 30岁年龄组次之(31.67%)。受该病影响的男性(60%)多于女性(40%)。单侧感染(59.16%)高于双侧感染(40.83%)。单菌(90%)病因发生率高于多菌(9.1%)病因发生率。最常见的分离细菌是金黄色葡萄球菌67(51.53%)，其次是假单胞菌26(20%)。抗生素谱显示本研究中最有效的药物为克林霉素、复方新诺明、环丙沙星、阿米卡星、氯霉素和头孢他啶。结论:分离到的病原菌以金黄色葡萄球菌最多，其次为假单胞菌。克林霉素是最有效的抗生素，其次是复方新诺明、环丙沙星、阿米卡星、氯霉素和头孢他啶。微生物对抗生素的敏感性因地理区域和当地选择抗生素的做法而异。持续和定期评估局部地区的微生物模式及其抗生素敏感性模式有助于处方经验性抗生素，以成功治疗中耳炎，从而减少感染

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来源期刊

Indian Journal of Otolaryngology and Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.90

自引率

0.00%

发文量

226

审稿时长

3 months

期刊介绍： Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.