Research Journal of Pharmacology
ISSN: Online 1993-6019ISSN: Print 1815-9362
Abstract
The present study conducted in the Department of Otorhinolaryngology. 50 patients with CSOM of all age groups and both sexes attending the OPD, were selected randomly for the study. Each case of CSOM was examined clinically as per proforma and ear swab was taken by aseptic precaution and sent to Microbiology Department for culture and sensitivity. In the present study the minimum age of the patient was 3 years and maximum age was 66 years. The maximum number of patients were in the age group of 21‐30 years (23.2%), and next between 11‐20 years (17.8%). The cause for increased incidence in this age group was due to recurrent upper respiratory tract infection. MEDIA” out of 50 cases, males were 44% and females were 56%.In the present study, majority of organisms isolated were P. aeurginosa (41.07%) and next was S. aureus (26.79%) followed by Klebsiella (8.93%), E. Coli (5.36%). There was no growth in 8.93% and commensal was found in 1.8% of ear discharge. In the present study majority of the infection among the study patient was Tubo‐Tympanic disease (71.42%) and next was Attico‐Antral disease (23.21%). In the present study 60.7% were gram negative organisms and 28.57% were gram positive organism. 13% of infection did not have any growth. In the present study majority of pseudomonas infection showed mucopurulent type of discharge (50%), followed by S aureus (33.3%). Mucoid discharge was common in pseudomonas (27%) and Klebsiella (16.6%). In the present study, gram negative organisms were found to be highly sensitive to Cf, G and Ak. The gram positive organisms were highly sensitive to A, Ak, G, Cf. P. aeruginosa was maximum sensitive to Cf (91.3%) followed by G (82.6%), Ce (73.9%) and Ak (65.2%) klebsiella had high sensitive to Cf and G (both being 100%) followed by Ak and Ce (both being 80%). Proteus had 100% sensitivity to Cf and G followed by Ak, Ce (66.6%), E coli had 100% sensitivity to Ak, Cf, G and Ce.S. aureus had high sensitivity to Ak (80%) followed by G, Ce, Cf (all being 66.6%). Acinetobacter had 100% sensitivity to Ak, Cf, G. So it was concluded that P. aeruginosa, S. aureus, Klebsiella and E. coli were the common organisms responsible for the pathogenicity of CSOM and antibiotic of choice are Cf, G, Ak, Ce.
How to cite this article:
G. Laxminarasimha, Bhanu Pratapchander and R. Ram Manohar Rao. A Microbiological and Clinicopathological Study of Patients with Active Chronic Suppurative Otitis Media.
DOI: https://doi.org/10.36478/10.36478/makrjp.2020.71.75
URL: https://www.makhillpublications.co/view-article/1815-9362/10.36478/makrjp.2020.71.75