BACTERIOLOGICAL PROFILE OF CHRONIC SUPPURATIVE OTITIS MEDIA (CSOM) FROM A RURAL AREA OF JAIPUR, RAJASTHAN.

Dr. Vipin Kathuria; Dr. Kanishtha Sharma; Dr. Sheetal Sharma

Volume : X, Issue : VII, July - 2020

BACTERIOLOGICAL PROFILE OF CHRONIC SUPPURATIVE OTITIS MEDIA (CSOM) FROM A RURAL AREA OF JAIPUR, RAJASTHAN.

Dr. Vipin Kathuria, Dr. Kanishtha Sharma, Dr. Sheetal Sharma

Abstract :

Aims: Otitis media is a serious infection in the developing countries, which causes serious threatening complications to the patients. The purpose of the present study was to determine the profile and antimicrobial susceptibility pattern of isolates from pus discharge in CSOM. Material and Methods: This study included a total of 115 patients of CSOM with unilateral or bilateral discharge attending department of ENT in NIMS hospital, Jaipur, India from January 2019 to July 2019. Samples were inoculated on Blood and MacConkey agar for 24– 48 hrs and identification of organism was done by using standard biochemical test and antimicrobial susceptibility testing done by using modified Kirby Bauer method as per CLSI guidelines. Result: Among 115 patients included in the study, most of the patients were between age group 11–20 years (39.13%). CSOM was found more in the male patients (61.73%) as compared to female (38.26%) patients. The most common organisms were: Pseudomonas aeruginosa (46.08%), Staphylococcus aureus (33.19%), Proteus species (6.95%), Escherichia coli (3.47%), Coagulase negative Staphylococcal species (CONS) (5.21%), Klebsiella species, (2.60%), and Citrobacter (1.73%). In our study the Staphylococcus. aureus showed100% sensitivity to Vancomycin and Linezolid. Conclusion: Pseudomonas aeruginosa is the main frequent isolate followed by Staphylococcus aureus. The study of microbial pattern and their antibiotic sensitivity determines the widespread bacterial organisms causing CSOM in local area and start practical and more targeted healing of otitis media and its complications for successful outcome, thus to prevent the emergence of resistant strains.