Clinical and bacteriological profile of chronic suppurative otitis media in a rural area of Puducherry, India

Jeyakumari, D., Saranya, R., Nagajothi, J. and Selvalingam, E.

Chronic suppurative otitis media (CSOM) is defined as persistent or intermittent infected discharge through a non-intact tympanic membrane having duration of three months or more. CSOM has direct impact on the hearing of patient causing conductive and sensorineural hearing loss and also on child development. Antibiotics are used to treat the infections but most of the organisms are acquiring resistance. The bacterial isolated vary in various geographical areas with different antibiotic sensitivity patterns. In developing countries this problem is increasing rampantly due to misuse of antibiotics and inadequate antibiotic treatment. Hence the study was aimed to identify the prevalence of bacterial species involved in CSOM and their antibiotic sensitivity pattern in a rural area of Puducherry. A total of 105 patients clinically diagnosed of CSOM were involved and the samples were collected and cultured for aerobic bacterial isolates. The organisms isolated were Pseudomonas aeruginosa (37.6%), Staphylococcus aureus (19.4%) and Acinetobacter species (10.3%) and fungi Aspergillus species (25%) and Candida non albicans (75%). Perception of etiological agents of CSOM and their antimicrobial susceptibility is of vital importance for an effective treatment, prevention of complications and emergence of antibiotic resistance.

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